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Organization
GULF COAST PAINCARE PLLC
Active
Organization
GULF COAST PAINCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MASSEY (CEO)
(727) 238-3238
Entity
Organization
Contact information
Practice address
2595 TAMPA RD STE U, PALM HARBOR, FL 34684-3132
(727) 371-6468
Mailing address
2595 TAMPA RD STE U, PALM HARBOR, FL 34684-3132
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
11/17/2023
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