# ELITE PAIN SPECIALISTS PA

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

## Provider details

- **NPI number:** 1396460622
- **Authorized official:** DR. ANTHONY ISENALUMHE JR. MD (OWNER)
- **Authorized official phone:** (352) 515-0025

## Contact information

- **Practice address:** 17807 HUNTING BOW CIR STE 101, LUTZ, FL 33558-5402
- **Practice address phone:** (813) 388-9922
- **Practice address fax:** (813) 406-4691
- **Mailing address:** PO BOX 20494, TAMPA, FL 33622-0494
- **Mailing address phone:** (727) 823-2188

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2022
- **Last updated:** 10/10/2022