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Organization
TAMPA PAIN MANAGEMENT LLC
Active
Organization
TAMPA PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN VAES (OWNER)
(813) 205-4550
Entity
Organization
Contact information
Practice address
4910 N ARMENIA AVE, TAMPA, FL 33603-1402
(813) 932-7246
(813) 932-7264
Mailing address
18886 PAMPASS GRASS LN, LUTZ, FL 33558-7300
(813) 205-4550
(813) 932-7264
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
HCC9537
FL
Other
Enumeration date
09/27/2013
Last updated
02/01/2016
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