Tampa Pain Relief Center, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME89547 Issued in FL

Legal business name

TAMPA PAIN RELIEF CENTER, INC.

Practice address

403 S Kings Ave
Suite 201
Brandon, FL 33511-5905

Phone

(727) 755-0693

Fax

(727) 755-0679

NPI assigned

Sep 18, 2015

Last updated

Aug 2, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Nicole Gallivan

Title

Credentialing Specialist

Phone

(727) 755-0693

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Tampa Pain Relief Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

• Surgery Partners

  • Pain Medicine Physician
  • Sarasota, FL
  • NPI 1962871160
  NPD tax ID
• Tampa Pain Relief Center

  dba Lake Mary Pain Relief Center

  • Interventional Pain Medicine Physician
  • Lake Mary, FL
  • NPI 1629371000
  NPD tax ID
• Tampa Pain Relief Center

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
  • NPI 1639359474
  NPD tax ID
• Tampa Pain Relief Center

  dba Orlando Pain Relief Center

  • Interventional Pain Medicine Physician
  • Maitland, FL
  • NPI 1649573015
  NPD tax ID
• Tampa Pain Relief Center, Inc

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1205206216
  NPD tax ID
• Tampa Pain Relief Center, Inc

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1760852776
  NPD tax ID
• Tampa Pain Relief Center, Inc.

  • Interventional Pain Medicine Physician
  • Palm Harbor, FL
  • NPI 1093018400
  NPD tax ID
• Tampa Pain Relief Center, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
  • NPI 1780865618
  NPD tax ID
• Tampa Pain Relief Center, Inc.

  • Non-Pharmacy Dispensing Site
  • Tampa, FL
  • NPI 1962552299
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1134598279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK PLACE BLVD",
            "address_2": "5TH FLOOR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594904",
            "telephone_number": "727-755-0693",
            "fax_number": "727-755-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S KINGS AVE",
            "address_2": "SUITE 201",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115905",
            "telephone_number": "727-755-0693",
            "fax_number": "727-755-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA PAIN RELIEF CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "GALLIVAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-755-0693",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME89547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262580600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Brandon, FL
• Providers in Brandon, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.