Provider Demographics
NPI:1831744549
Name:ORLES PAIN MANAGEMENT & REGENERATIVE MEDICINE GRP
Entity type:Organization
Organization Name:ORLES PAIN MANAGEMENT & REGENERATIVE MEDICINE GRP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:G
Authorized Official - Last Name:FLORETE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:904-274-8813
Mailing Address - Street 1:3100 UNIVERSITY BLVD S
Mailing Address - Street 2:STE 300
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-2752
Mailing Address - Country:US
Mailing Address - Phone:904-274-8813
Mailing Address - Fax:904-503-4465
Practice Address - Street 1:3100 UNIVERSITY BLVD S
Practice Address - Street 2:STE 300
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-2752
Practice Address - Country:US
Practice Address - Phone:904-274-8813
Practice Address - Fax:904-503-4465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty