Organization Active NPI

Emed Pain Management Inc

  • Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1427776616
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
EMED PAIN MANAGEMENT INC
Doing business as
EMED PAIN MANAGEMENT
Practice address
2624 Atlantic Blvd Ste 6
Jacksonville, FL 32207-3633
Phone
(904) 513-3240
Fax
(904) 398-7871
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Rene Pulido, MD
Title
President
Phone
(904) 513-3240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

2624 Atlantic Blvd Ste 6
Jacksonville, FL 32207-3633

Mailing address

2624 Atlantic Blvd Ste 6
Jacksonville, FL 32207-3633
Phone (904) 513-3240

Other names 1

  • EMED PAIN MANAGEMENT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1427776616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073633",
            "telephone_number": "904-513-3240",
            "fax_number": "904-398-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073633",
            "telephone_number": "904-513-3240",
            "fax_number": "904-398-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMED PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-513-3240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMED PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.