Formoso Pain Specialists, PA

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

FORMOSO PAIN SPECIALISTS, PA

Practice address

857 Edgewood Ave S
Jacksonville, FL 32205-5362

Phone

(904) 201-3111

Fax

(904) 201-3095

NPI assigned

Apr 20, 2026

Last updated

Apr 20, 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

Ferdinand Joseph Formoso, DONPI 1801000161

Title

Owner/Ceo

Phone

(904) 201-3111

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Ferdinand Joseph Formoso, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1801000161
  NPD (past) Authorized official

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1548105372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055362",
            "telephone_number": "904-201-3111",
            "fax_number": "904-201-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055362",
            "telephone_number": "904-201-3111",
            "fax_number": "904-201-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMOSO PAIN SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "FORMOSO",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-201-3111",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn William Forhan, DMD
• Stephanie Forhan, APRN
• Jaira Esthel Tesoro Forman, M.A.,BCBA
• Amanda Nicole Formella, RN
• Formoso Pain Specialists, PA
• Formoso Pain Specialists, PA
• Ferdinand Joseph Formoso, D.O.
• Abigail Victoria Forness, M.S. CCC-SLP
• Masleidy Fornos Artiles, APRN
• Juliana Forrest-Lytle, PHD, LMHC

• Pain Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pain Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.