Dr FERDINAND J FORMOSO is a male medical professional, specializing in Interventional Pain Management. He graduated in 2001 from New York College Of Osteo Medicine Of New York Institute Of Technology.
PHYSICIANS GROUP SERVICES PA
1409 KINGSLEY AVE
SUITE 6A
ORANGE PARK
FL
320734592
Tel: 9042647517
| Npi | 1801000161 |
| Pac Id | 7113001876 |
| Professional Enrollment Id | I20080220000244 |
| Last Name | FORMOSO |
| First Name | FERDINAND |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2001 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialty 1 | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialty 2 | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE, PHYSICAL MEDICINE AND REHABILITATION |
| Organization Legal Name | PHYSICIANS GROUP SERVICES PA |
| Group Practice Pac Id | 1254238579 |
| Number Of Group Practice Members | 74 |
| Line 1 Street Address | 1409 KINGSLEY AVE |
| Line 2 Street Address | SUITE 6A |
| Marker Of Address Line 2 Suppression | |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 320734592 |
| Phone Number | 9042647517 |
| Hospital Affiliation Ccn 1 | 100117 |
| Hospital Affiliation Lbn 1 | BAPTIST MEDICAL CENTER BEACHES |
| Hospital Affiliation Ccn 2 | 100040 |
| Hospital Affiliation Lbn 2 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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