# SHILO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHILOH MEDICAL GROUP, TAMPA PAIN CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477119519
- **Authorized official:** STEPHEN O BANJOKO (CFO)
- **Authorized official phone:** (212) 257-0225

## Contact information

- **Practice address:** 10549 N FLORIDA AVE STE J, TAMPA, FL 33612-6707
- **Practice address phone:** (813) 252-0242
- **Mailing address:** PO BOX 17175, TAMPA, FL 33682-7175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2019
- **Last updated:** 01/05/2022