# THE NEURO PAIN RESET INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tampa Ketamine Infusions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952219784
- **Authorized official:** PHILIP HANSEN MD (MEMBER)
- **Authorized official phone:** (727) 953-7762

## Contact information

- **Practice address:** 1700 N MCMULLEN BOOTH RD STE B4, CLEARWATER, FL 33759-2100
- **Practice address phone:** (727) 953-7762
- **Mailing address:** 1700 N MCMULLEN BOOTH RD STE B4, CLEARWATER, FL 33759-2100
- **Mailing address fax:** (727) 953-7762

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2026
- **Last updated:** 09/01/2026