# NEW TAMPA INTERVENTIONAL PAIN AND SPORTS MEDICINE, INC

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

## Provider details

- **NPI number:** 1326478942
- **Authorized official:** DR. JOSE DE LA TORRE M.D. (OWNER)
- **Authorized official phone:** (813) 309-1013

## Contact information

- **Practice address:** 2014 ASHLEY OAKS CIR, SUITE 101, WESLEY CHAPEL, FL 33544-6400
- **Practice address phone:** (813) 999-3030
- **Mailing address:** 2014 ASHLEY OAKS CIR, SUITE 101, WESLEY CHAPEL, FL 33544-6400
- **Mailing address phone:** (813) 999-3030
- **Mailing address fax:** (813) 991-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME89848 | FL | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | ME89848 | FL | — |

## Other

- **Enumeration date:** 11/18/2013
- **Last updated:** 12/09/2013