NPI 1134598279
Tampa Pain Relief Center, INC.
Practice location
- Address
- 403 S Kings Ave Suite 201, Brandon, FL 33511-5905
- Phone
- (727) 755-0693
- Fax
- (727) 755-0679
- Mailing address
- 311 Park Place Blvd 5th Floor, Clearwater, FL 33759-4904
Authorised official
- Name
- Nicole Gallivan
- Title
- Credentialing Specialist
- Phone
- (727) 755-0693
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1134598279
- Entity type
- Organization
- NPI issued
- 18 Sep 2015
- Record last updated
- 2 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.