# UNIVERSITY PAIN ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1306274048
- **Authorized official:** GREGORY N. KOZLOV D.O. (PRESIDENT & MANAGING MEMBER)
- **Authorized official phone:** (727) 822-3500

## Contact information

- **Practice address:** 431 SOUTHWEST BLVD N, ST PETERSBURG, FL 33703-1399
- **Practice address phone:** (727) 822-3500
- **Practice address fax:** (727) 822-3228
- **Mailing address:** 204 37TH AVE N, \#125, ST PETERSBURG, FL 33704-1416
- **Mailing address phone:** (727) 822-3500
- **Mailing address fax:** (727) 822-3228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | OS11865 | FL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | OS11865 | FL | Yes |

## Other

- **Enumeration date:** 10/15/2013
- **Last updated:** 10/15/2013