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NPI Code Detail

MEDICARE: ALLIED PAIN MANAGEMENT

MEDICARE: ALLIED PAIN MANAGEMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP3300XPain Clinic/Center

General Provider Information

NPI Number : 1811367832
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED PAIN MANAGEMENT
Provider Business Mailing Address
First Line : 4270 POINT LA VISTA RD W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-6248
Country : US
Telephone Number : 904-553-3312
Fax Number :
Provider Business Practice Location Address
First Line : 4270 POINT LA VISTA RD W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-6248
Country : US
Telephone Number : 904-553-3312
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TIMOTHY STERNBERG
Credential : MD
Telephone Number : 904-868-5716
Provider Enumeration Date : 10/02/2015
Last Update Date : 10/15/2015

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Directions to “ALLIED PAIN MANAGEMENT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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