{"npi":"1942603899","type":"NPI-2","status":"active","name":{"display":"Pain Medicine Physicians Of Jacksonville, LLC","other":[],"organization_name":"PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC","authorised_official":"Parveen Khanna"},"specialty":{"primary_taxonomy":"207LP2900X","primary_taxonomy_description":"Anesthesiology, Pain Medicine","slug":"anesthesiology-pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"207L00000X","description":"Anesthesiology","primary":false,"state":"FL","license":"ME87424"},{"code":"207LP2900X","description":"Anesthesiology, Pain Medicine","primary":true,"state":"FL","license":"ME87424"}]},"addresses":[{"purpose":"LOCATION","street_1":"10250 NORMANDY BOULEVARD","city":"JACKSONVILLE","state":"FL","postal_code":"32221","country_code":"US","street_2":"SUITE 702","phone":"9044957200","fax":"9044957199"},{"purpose":"MAILING","street_1":"10250 NORMANDY BLVD","city":"JACKSONVILLE","state":"FL","postal_code":"322218059","country_code":"US","street_2":"SUITE 703","phone":"9044957200","fax":"9044957199"}],"license":{"state":"FL","number":"ME87424"},"identifiers":[{"type_code":"01","label":"Other","value":"007Z4","state":"FL","issuer":"BLUECROSSBLUESHIELD"},{"type_code":"01","label":"Other","value":"DV2304","state":"FL","issuer":"MEDICARE RR"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20141020002176","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"0345461133"},{"enrlmt_id":"O20151106001564","type_code":"30-01","type_desc":"DME SUPPLIER - PHYSICIAN - GENERAL PRACTICE","state":"FL","pac_id":"0345461133"}]},"enumeration_date":"2014-10-07","last_updated":"2017-01-27","_meta":{"source":"NPPES","snapshot_date":"2017-01-27","doc_url":"https://findmynpi.com/api"}}