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Organization
THE NEURO PAIN RESET INSTITUTE LLC
Active
Organization
THE NEURO PAIN RESET INSTITUTE LLC
Active
Other names
Tampa Ketamine Infusions
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP HANSEN MD (MEMBER)
(727) 953-7762
Entity
Organization
Contact information
Practice address
1700 N MCMULLEN BOOTH RD STE B4, CLEARWATER, FL 33759-2100
(727) 953-7762
Mailing address
1700 N MCMULLEN BOOTH RD STE B4, CLEARWATER, FL 33759-2100
(727) 953-7762
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/01/2026
Last updated
09/01/2026
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