Provider Demographics
NPI:1366314445
Name:PAIN RELIEF INSTITUTE LLC
Entity type:Organization
Organization Name:PAIN RELIEF INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:G
Authorized Official - Last Name:MASCARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-715-1416
Mailing Address - Street 1:4211 N PEARL ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32206-6411
Mailing Address - Country:US
Mailing Address - Phone:561-715-1416
Mailing Address - Fax:
Practice Address - Street 1:4211 N PEARL ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-6411
Practice Address - Country:US
Practice Address - Phone:561-715-1416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty