Healthcare Provider Details

I. General information

NPI: 1831744549
Provider Name (Legal Business Name): ORLES PAIN MANAGEMENT & REGENERATIVE MEDICINE GRP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 07/12/2025
Certification Date: 07/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 UNIVERSITY BLVD S STE 300
JACKSONVILLE FL
32216-2752
US

IV. Provider business mailing address

3100 UNIVERSITY BLVD S STE 300
JACKSONVILLE FL
32216-2752
US

V. Phone/Fax

Practice location:
  • Phone: 904-274-8813
  • Fax: 904-503-4465
Mailing address:
  • Phone: 904-274-8813
  • Fax: 904-503-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ORLANDO G FLORETE JR.
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: M.D.
Phone: 904-274-8813