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Organization

TAMPA PAIN RELIEF CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARIANA BEDOYA (CREDENTIALING SPECIALIST)
(727) 755-0693
Entity
Organization

Contact information

Practice address
2333 W HILLSBOROUGH AVE, STE 100, TAMPA, FL 33603-1052
(813) 872-4492
(813) 830-9494
Mailing address
311 PARK PLACE BLVD, 5TH FLOOR, CLEARWATER, FL 33759-4904
(727) 755-0639
(727) 755-0679

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS9146
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262580600
FL
Enumeration date
10/02/2015
Last updated
03/21/2016
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