Organization
TAMPA PAIN RELIEF CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
3488 E LAKE RD STE 403, PALM HARBOR, FL 34685-2404
(813) 569-6500
Mailing address
4919 MEMORIAL HWY STE 200, TAMPA, FL 33634-7500
(813) 569-6500
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
05/06/2019
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