# TAMPA PAIN RELIEF CENTER

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

## Provider details

- **NPI number:** 1639359474
- **Authorized official:** MS. NANCY J CASTELLANA (PAYOR RELATIONS DIRECTOR)
- **Authorized official phone:** (813) 569-6500

## Contact information

- **Practice address:** 8583 W LINEBAUGH AVE, TAMPA, FL 33625-3731
- **Practice address phone:** (813) 872-4492
- **Practice address fax:** (813) 870-1502
- **Mailing address:** 5501 W GRAY ST, TAMPA, FL 33609-1007
- **Mailing address phone:** (813) 569-6500
- **Mailing address fax:** (813) 569-6262

## Taxonomy

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