Florida Institute of Pain Medicine LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

FLORIDA INSTITUTE OF PAIN MEDICINE LLC

Doing business as

Florida Pain Physicians

Practice address

105 Whitehall Dr Ste 115&116
St Augustine, FL 32086-5269

Phone

(904) 800-7246

Fax

(904) 299-4116

NPI assigned

Nov 30, 2018

Last updated

Aug 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry R Foltz, MDNPI 1144290677

Title

Owner

Phone

(904) 449-7246

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Florida Pain Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Florida Institute of Pain Medicine LLC

  dba Florida Pain Physicians

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1194056283

  4385769686

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Richard Foltz II, MD

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1144290677
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1346710571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242349",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WHITEHALL DR STE 115&116",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865269",
            "telephone_number": "904-800-7246",
            "fax_number": "904-299-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE OF PAIN MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "FOLTZ",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-449-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6706420003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Pain Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Florida First Assistants, Inc.
• Florida Health Care Plan, Inc (Florida Health Care Plans Pharmacy-St. Augustine)
• Florida Institute of Pain Medicine LLC (Florida Pain Physicians)
• Florida O & P Services Inc
• Florida School for the Deaf and the Blind
• Florida School for the Deaf and the Blind
• Florida School for the Deaf and the Blind

• Pain Medicine (Anesthesiology) Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.