Organization Active NPI

Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
National Provider Identifier
1376994608
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
FLORIDA PAIN RELIEF GROUP PLLC
Practice address
4730 N Habana Ave Ste 104
Tampa, FL 33614-7165
Phone
(813) 739-7498
Fax
(813) 878-6850
NPI assigned
Jun 28, 2016
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Tracie GariNPI 1659315190
Title
Chief Administrative Officer
Phone
(813) 549-2134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

4730 N Habana Ave Ste 104
Tampa, FL 33614-7165

Mailing address

PO Box 947387
Atlanta, GA 30394-7387

Other practice location 1

3230 Hillsdale Ln
Kissimmee, FL 34741-7562
Phone (407) 785-1967

Other practice location 2

4703 N Armenia Ave
Tampa, FL 33603-2618
Phone (813) 514-0230

Other practice location 3

9145 Narcoossee Rd Ste A200
Orlando, FL 32827-5768
Phone (407) 385-1551

Other practice location 4

7206 Curry Ford Rd
Orlando, FL 32822-5806
Phone (407) 385-1551

Other practice location 5

10301 Hagen Ranch Rd Ste B270
Boynton Beach, FL 33437-3735
Phone (561) 853-1001

Other practice location 6

3450 E Fletcher Ave Ste 350
Tampa, FL 33613-4699
Phone (813) 739-7497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160908000245 FL Part B Supplier - Clinic/Group Practice 4688960271 Receives reassigned benefits from 162 practitioners
2 other NPIs on this enrollment
Practice locations: Orlando, FL; Pinellas Park, FL; Ruskin, FL; Seminole, FL; Tampa, FL; Wellington, FL; Wesley Chapel, FL; West Palm Beach, FL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2312700Florida Pain Relief Group, PLLC10301 Hagen Ranch Rd Suite B270, Boynton Beach, FL 33437Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Locations (25 of 31)

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

10301 Hagen Ranch Rd
Ste D720
Boynton Beach, FL 33437
Phone (561) 336-1890

1110 Nikki View Dr
Brandon, FL 33511
Phone (813) 444-5567

427 S Parsons Ave
Brandon, FL 33511
Phone (813) 571-5278

427 S Parsons Ave
Ste 112
Brandon, FL 33511
Phone (813) 651-4441

427 S Parsons Ave
Ste 114
Brandon, FL 33511

11705 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 345-7450

6310 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202

6310 Lakewood Ranch Blvd
Ste 320
Lakewood Ranch, FL 34202

109 Silver Palm Ave
Melbourne, FL 32901
Phone (321) 802-9954

450 E Merritt Island Cswy
Ste 300
Merritt Island, FL 32952

595 N Courtenay Pkwy
#206
Merritt Island, FL 32953
Phone 81354921341109

595 N Courtenay Pkwy
Ste 206
Merritt Island, FL 32953
Phone (321) 735-6220

4419 Rowan Rd
New Prt Rchy, FL 34653
Phone (727) 845-4999

5304 Main St
New Prt Rchy, FL 34652
Phone (352) 212-5567

2021 Kingsley Ave
Ste 109
Orange Park, FL 32073
Phone (904) 264-8801

7376 Stonerock Cir
Unit 3
Orlando, FL 32819
Phone (407) 385-1557

6449 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 350-0450

10875 Park Blvd
Seminole, FL 33772
Phone (727) 846-0545

10875 Park Blvd
Ste C
Seminole, FL 33772
Phone (727) 350-0453

14438 University Cove Pl
Tampa, FL 33613
Phone (813) 531-8160

3450 E Fletcher Ave
Ste 350A
Tampa, FL 33613

4726 N Habana Ave
Ste 103
Tampa, FL 33614
Phone (813) 870-6470

4726 N Habana Ave
Ste 202
Tampa, FL 33614
Phone (727) 685-1946

4730 N Habana Ave
Tampa, FL 33614
Phone (813) 348-3739

Practitioners & affiliated clinicians

Practitioners 175

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 175

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1376994608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947387",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147165",
            "telephone_number": "813-739-7498",
            "fax_number": "813-878-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Hillsdale Ln",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417562",
            "country_code": "US",
            "telephone_number": "407-785-1967",
            "fax_number": "407-201-5143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4703 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336032618",
            "country_code": "US",
            "telephone_number": "813-514-0230",
            "fax_number": "813-514-0231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9145 Narcoossee Rd Ste A200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328275768",
            "country_code": "US",
            "telephone_number": "407-385-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7206 Curry Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328225806",
            "country_code": "US",
            "telephone_number": "407-385-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 Hagen Ranch Rd Ste B270",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373735",
            "country_code": "US",
            "telephone_number": "561-853-1001",
            "fax_number": "561-737-6703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 E Fletcher Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134699",
            "country_code": "US",
            "telephone_number": "813-739-7497",
            "fax_number": "813-979-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA PAIN RELIEF GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "GARI",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.