Tampa Pain Relief Center, Inc.
Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Tampa, FL
NPI 1871543751 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1871543751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- Legal business name
- TAMPA PAIN RELIEF CENTER, INC.
- Practice address
- 2333 W Hillsborough Ave
Suite 100
Tampa, FL 33603 - Phone
- (813) 872-4492
- Fax
- (813) 870-1502
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Member organizations 2
Practitioners 71
-
Victor Edouard Buzon, APRN
-
Grace Shim Choe, DNP, APRN, FNP-BC
-
Martha L Clapp, APRN
-
Peter Duke Crane, MD
-
Melissa Ann Ellis, FNP
-
Nilusha Tania Fernando, D.O.
-
Sherin Kamal Fetouh, M.D.
-
Pearl Fox, ARNP
-
Raphael Garcia, APRN
-
Amitabh Goel, MD
-
Arusha P Heyat, APRN
-
Edward Lubin, MD
-
Kelly Marie McCaleb, FNP-BC
-
Thaiduc Nguyen, DO
-
Peter Pham, MD
-
Bruce A Piszel, MD
-
Lamisa Smith Rayside, ARNP
-
Jose J Rivera, M.D.
-
Mary Louis Soscia, ARNP
-
Ashish Udeshi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040107000709 | FL | Part B Supplier - Clinic/Group Practice | 6002715158 |
Receives reassigned benefits from 40 practitioners Practice locations: Tampa, FL; Sarasota, FL; Palm Bay, FL; Orlando, FL; Merritt Island, FL; Lakewood Ranch, FL; Lake Mary, FL; Brandon, FL… |
National Provider Directory
Locations
683 Douglas Ave
Ste 101
Altamonte Springs, FL 32714
Phone (407) 478-1510
403 S Kings Ave
Ste 201
Brandon, FL 33511
Phone (813) 872-4992
401 SW 42nd Ave
Ste 200
Coral Gables, FL 33134
Phone (305) 443-4493
1131 NW 64th Ter
Ste C
Gainesville, FL 32605
Phone (352) 331-5557
325 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 585-0263
8936 77th Ter E
Unit 101
Lakewood Ranch, FL 34202
Phone (941) 758-7300
2450 Maitland Center Pkwy
Maitland, FL 32751
Phone (786) 432-5464
307 E New Haven Ave
Melbourne, FL 32901
Phone (321) 727-8223
5545 N Wickham Rd
Ste 104
Melbourne, FL 32940
Phone (321) 784-8211
5545 N Wickham Rd
Melbourne, FL 32940
Phone (321) 779-9838
3687 Tampa Rd
Ste 205
Oldsmar, FL 34677
7350 Sandlake Commons Blvd
Ste 2212A
Orlando, FL 32819
Phone (407) 463-9588
3488 E Lake Rd
Ste 403
Palm Harbor, FL 34685
Phone (727) 372-4779
3920 Bee Ridge Rd
Ste F
Sarasota, FL 34233
Phone (941) 484-6758
1921 Waldemere St
Ste 607
Sarasota, FL 34239
Phone (941) 262-3100
2333 W Hillsborough Ave
Ste 100
Tampa, FL 33603
3000 Medical Park Dr
Ste 510
Tampa, FL 33613
Phone (813) 615-7725
3450 E Fletcher Ave
Ste 220
Tampa, FL 33613
Phone (813) 977-3600
4178 N Armenia Ave
Tampa, FL 33607
Phone (813) 294-7331
2615 Windguard Cir
Wesley Chapel, FL 33544
Phone (813) 907-9900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | Yes |
Addresses
Primary practice location
2333 W Hillsborough Ave
Suite 100
Tampa, FL 33603
Mailing address
4919 Memorial Hwy Ste 200
Tampa, FL 33634-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262580600 | Medicaid | FL |
Other providers in Tampa, FL
- Tampa Pain Rehab, LLC.
- Tampa Pain Relief Center
- Tampa Pain Relief Center, Inc
- Tampa Pain Relief Center, Inc
- Tampa Pain Relief Center, Inc.
- Tampa Pain Relief Center, Inc.
- Tampa Palms Dentistry, PLLC
- Tampa Palms Pharmacy LLC
- Tampa Palms Pharmacy LLC
- Tampa Palms Psychology, LLC
All providers in Tampa, FL · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.