NPIMap

Organization Active NPI

Florida Gulf to Bay Anesthesiology Pain LLC

Doing business as Florida Gulf to Bay Pain Medicine

  • Interventional Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1912105172
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
FLORIDA GULF TO BAY ANESTHESIOLOGY PAIN LLC
Doing business as
Florida Gulf to Bay Pain Medicine
Practice address
118 S Oregon Ave
Tampa, FL 33606-1820
Phone
(813) 253-2273
Fax
(813) 253-2279
NPI assigned
Jul 10, 2007
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Devanand Mangar, MDNPI 1215980958
Title
Owner/President
Phone
(813) 844-4434

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

118 S Oregon Ave
Tampa, FL 33606-1820

Mailing address

1 Tampa General Cir
A327
Tampa, FL 33606-3571
Phone (813) 844-4396

Other identifiers 1

IdentifierTypeStateIssuer
39348OtherFLBCBS

Other names 1

  • Florida Gulf to Bay Pain Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1912105172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "address_2": "A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S OREGON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061820",
            "telephone_number": "813-253-2273",
            "fax_number": "813-253-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA GULF TO BAY ANESTHESIOLOGY PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "MANGAR",
        "authorized_official_first_name": "DEVANAND",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-844-4434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39348",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Gulf to Bay Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2009; 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.