Organization
RADIANCE PAIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FRIEND (ADMINISTRATOR)
(813) 295-8376
Entity
Organization
Contact information
Practice address
9716 N 56TH ST, TEMPLE TERRACE, FL 33617-5508
(813) 295-8376
(813) 295-8476
Mailing address
9716 N 56TH ST, TEMPLE TERRACE, FL 33617-5508
(813) 295-8376
(813) 295-8476
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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