FLORIDA INSTITUTE OF PAIN MEDICINE LLC (NPI# 1346710571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346710571 |
| Entity Type | Organization |
| Organization Name | FLORIDA INSTITUTE OF PAIN MEDICINE LLC |
| Other Organization Name | FLORIDA COAST PAIN AND SPINE CENTER |
| Practice Address |
105 Whitehall Dr Ste 115 St Augustine FL 32086-5269 |
| Mailing Address |
Po Box 1538 Ponte Vedra Beach FL 32004-1538 |
| Practice Telephone | 9048007246 |
| Practice Fax Number | 9042994116 |
| Mailing Telephone | 9044497246 |
| Mailing Fax Number | 9047197571 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | JERRY R FOLTZ (OWNER) |
| Authorized Official Telephone | 9044497246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Coast Pain and Spine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487362 | Florida Institute of Pain Medicine LLC | Pain Medicine | 2386 Dunn Ave Ste 111, Jacksonville, FL 32218-4751 | 2018-11-29 |
| 1578193504 | Florida Institute of Pain Medicine LLC | Anesthesiology | 859 Park Ave Ste 102, Orange Park, FL 32073-4151 | 2020-01-17 |
| 1740750967 | Florida Institute of Pain Medicine LLC | Clinic/Center | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2018-11-30 |
| 1194056283 | Florida Institute of Pain Medicine LLC | Anesthesiology | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2010-01-29 |
| Street Address |
105 WHITEHALL DR STE 115 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558771238 | Adnan Faruqi | Anesthesiology | 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 | 2014-05-02 |
| 1720302946 | First Coast Pain and Spine Center LLC | Anesthesiology | 100 Whetstone Pl Ste 310, St Augustine, FL 32086-5775 | 2010-03-17 |
| 1265659460 | Joseph Adam Cartwright | Anesthesiology | 105 Whitehall Dr Ste 115&116, St Augustine, FL 32086 | 2007-04-19 |
| 1699708693 | Pain Management Specialists of North Florida P A | Anesthesiology | 1301 Plantation Island Dr S Ste 301a, St Augustine, FL 32080-3117 | 2006-07-10 |
| 1235184805 | Eduardo Dieguez Jr. | Anesthesiology | 811 State Road 206 E Ste 1, St Augustine, FL 32086-4869 | 2006-05-23 |
| 1386201960 | Advanced Pain and Spine Institute of Florida LLC | Anesthesiology | 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 | 2019-05-20 |
| 1932423563 | First Coast Pain Management | Anesthesiology | 100 Whetstone Pl Ste 310, St Augustine, FL 32086-5775 | 2010-03-25 |
| 1376782920 | James E Freidenstein | Anesthesiology | 105 Whitehall Dr Ste 115&116, St Augustine, FL 32086 | 2009-02-05 |
| 1851587406 | Eduardo Dieguez Jr Md Pa | Anesthesiology | 811 State Road 206 E Ste 1, St Augustine, FL 32086-4869 | 2007-09-18 |
| 1104903160 | Lighthouse Pain and Spine Specialists | Anesthesiology | 300 Health Park Blvd, Suite 5008, St Augustine, FL 32086-3707 | 2006-11-01 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.