FERDINAND J. FORMOSO D.O. – NPI #1801000161
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

FERDINAND FORMOSO is a physician located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1801000161 to FERDINAND FORMOSO on May 09, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 4 years ago on Apr 27, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FERDINAND FORMOSO below.

NPI Profile for
FERDINAND J. FORMOSO

NPI Number
1801000161
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FERDINAND J. FORMOSO
Credentials
D.O.
Primary location
11555 CENTRAL PKWY
SUITE 304
JACKSONVILLE, FL 32224-2691
Phone: (904) 265-7755 Fax: (904) 265-7754
1 Other location(s):
1361 13th Ave S Ste 170
Jacksonville Beach, FL 32250-3235
Phone: (904) 201-3111
Fax: (904) 201-3095
Mailing address
11555 CENTRAL PKWY STE 304
JACKSONVILLE, FL 32224-2694
Phone: (904) 201-3111 Fax: (904) 201-3095
Sole Proprietor
No
Updated
Certification Date
Apr 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
FL OS10067
208VP0014X
- Pain Medicine / Interventional Pain Medicine
FL OS10067

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY - Graduated 2001
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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