# TAMPA PAIN REHAB, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114154762
- **Authorized official:** MR. EDUARDO RODRIGUEZ (DIRECTOR)
- **Authorized official phone:** (813) 886-4745

## Contact information

- **Practice address:** 8330 W HILLSBOROUGH AVE, TAMPA, FL 33615
- **Practice address phone:** (813) 886-4745
- **Practice address fax:** (813) 886-4826
- **Mailing address:** 8330 W HILLSBOROUGH AVE, TAMPA, FL 33615
- **Mailing address phone:** (813) 886-4745
- **Mailing address fax:** (813) 886-4826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 06/22/2009
