Organization
TAMPA PAIN RELIEF CENTER, INC.
Active
Organization
TAMPA PAIN RELIEF CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NICOLE GALLIVAN (CREDENTIALING SPECIALIST)
(727) 755-0693
Entity
Organization
Contact information
Practice address
403 S KINGS AVE, SUITE 201, BRANDON, FL 33511-5905
(727) 755-0693
(727) 755-0679
Mailing address
311 PARK PLACE BLVD, 5TH FLOOR, CLEARWATER, FL 33759-4904
(727) 755-0693
(727) 755-0679
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME89547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262580600
—
FL
Enumeration date
09/18/2015
Last updated
08/02/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up