Organization Active NPI

Gulfshore Pain & Wellness Centre

  • Pain Clinic/Center
  • Tampa, FL
National Provider Identifier
1881994606
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
GULFSHORE PAIN & WELLNESS CENTRE
Practice address
4700 N Habana Ave
403
Tampa, FL 33614-7160
Phone
(813) 874-1644
Fax
(813) 874-1984
NPI assigned
Oct 26, 2010
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Fred J Turner, M.D.
Title
Manager/Active Physician
Phone
(813) 874-1644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

4700 N Habana Ave
403
Tampa, FL 33614-7160

Mailing address

4700 N Habana Ave
403
Tampa, FL 33614-7160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1881994606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "403",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "403",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160",
            "telephone_number": "813-874-1644",
            "fax_number": "813-874-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSHORE PAIN & WELLNESS CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER/ACTIVE PHYSICIAN",
        "authorized_official_telephone_number": "813-874-1644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 13, 2011; 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.