Pain Treatment Center of Florida, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PAIN TREATMENT CENTER OF FLORIDA, INC

Practice address

4106 Henderson Blvd
Tampa, FL 33629-5750

Phone

(813) 731-0416

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. George S. Sidhom, MD

Title

General Partner

Phone

(813) 731-0416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1891078861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335481005",
            "telephone_number": "813-731-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295750",
            "telephone_number": "813-731-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN TREATMENT CENTER OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "SIDHOM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "813-731-0416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Institute of Tampa Bay, PLC
• Pain Management and Relief
• Pain Management of Tampa, LLC.
• Pain Rapid Relief Corp
• Pain Solutions LLC
• Lisa Painter
• Joan Paisley
• Yun Pak, MSN, APRN, AGPCNP-BC
• Alysha Palacio
• Andrea Palacio, APRN

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.