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Organization
TAMPA PAIN RELIEF CENTER
Active
Organization
TAMPA PAIN RELIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY J CASTELLANA (PAYOR RELATIONS DIRECTOR)
(813) 569-6500
Entity
Organization
Contact information
Practice address
8583 W LINEBAUGH AVE, TAMPA, FL 33625-3731
(813) 872-4492
(813) 870-1502
Mailing address
5501 W GRAY ST, TAMPA, FL 33609-1007
(813) 569-6500
(813) 569-6262
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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