Tampa Pain Relief Center, Inc.

LBN: Tampa Pain Relief Center, Inc.
Tampa Pain Relief Center, Inc. is an health care organization with primary practice located at 403 S Kings Ave Suite 201, Brandon FL 33511-5905. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Tampa Pain Relief Center, Inc. can be contacted via phone (727) 755-0693, or through Gallivan, Nicole via phone (727) 755-0693.

Contact Information

Primary practice address
403 S Kings Ave Suite 201 Brandon FL 33511-5905
Fax: (727) 755-0679
Website:
Authorized official contact:
Name: Gallivan, Nicole

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X ME89547 Florida

Profile Details

NPI number 1134598279
LBN Legal business name Tampa Pain Relief Center, Inc.
DBA Doing business as
Authorized official Gallivan, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2015
Last updated Aug 2nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134598279 NPPES
Florida MEDICAID 262580600

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