# GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GTBA Pain Van Dyke
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225365489
- **Authorized official:** DEVANAND MANGAR MD (CEO/PRESIDENT)
- **Authorized official phone:** (813) 844-4434

## Contact information

- **Practice address:** 4961 VAN DYKE RD, LUTZ, FL 33558-4813
- **Practice address phone:** (813) 253-2273
- **Practice address fax:** (813) 253-2279
- **Mailing address:** 809 S ALBANY AVE, TAMPA, FL 33606-2407
- **Mailing address phone:** (813) 844-4396
- **Mailing address fax:** (813) 844-4972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/09/2009
- **Last updated:** 04/27/2012