NPIMap

Organization Active NPI

Pain Relief Institute LLC

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1366314445
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN RELIEF INSTITUTE LLC
Practice address
4211 N Pearl St
Jacksonville, FL 32206-6411
Phone
(904) 358-2225
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Pedro G Mascaro, MDNPI 1851786461
Title
Physician
Phone
(904) 358-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

4211 N Pearl St
Jacksonville, FL 32206-6411

Mailing address

4211 N Pearl St
Jacksonville, FL 32206-6411
Phone (904) 358-2225

Other practice location 1

13453 N Main St Ste 102
Jacksonville, FL 32218-2773
Phone (904) 358-2225

Other practice location 2

1536 Kingsley Ave Ste 129
Orange Park, FL 32073-4525
Phone (904) 358-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009001259 FL Part B Supplier - Clinic/Group Practice 0244737856 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

13453 N Main St
Ste 102
Jacksonville, FL 32218
Phone (904) 358-2225

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1366314445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 N PEARL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066411",
            "telephone_number": "904-358-2225",
            "fax_number": "904-862-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N PEARL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066411",
            "telephone_number": "904-358-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13453 N Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322182773",
            "country_code": "US",
            "telephone_number": "904-358-2225",
            "fax_number": "904-862-6180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1536 Kingsley Ave Ste 129",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734525",
            "country_code": "US",
            "telephone_number": "904-358-2225",
            "fax_number": "904-862-6180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN RELIEF INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "MASCARO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-358-2225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.