Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Pain Management Clinic, Inc

Organization Pain Medicine (Anesthesiology) Physician · NPI 1255565388

Advanced Pain Management Clinic, Inc provides Pain Medicine (Anesthesiology) Physician services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5757 Booth Rd Bldg 100
Jacksonville, FL 32207-5980 Not confirmed with CMS for 14 years — call before visiting
Phone: (904) 683-2596
Fax: (904) 683-2597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence OS8432 (FL)

Record details

NPI number1255565388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Willens — President · (904) 635-5555
NPI enumeratedMay 4, 2009
Last updated in NPPESOctober 1, 2012
Mailing address5757 Booth Rd, Building 100, Jacksonville, FL 32207-5980

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