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Organization

FLORIDA PAIN RELIEF GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACIE GARI (CHIEF ADMINISTRATIVE OFFICER)
(813) 549-2134
Entity
Organization

Contact information

Practice address
4730 N HABANA AVE STE 104, TAMPA, FL 33614-7165
(813) 739-7498
(813) 878-6850
Mailing address
PO BOX 947387, ATLANTA, GA 30394-7387

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
208VP0014X
Interventional Pain Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
06/28/2016
Last updated
09/29/2025
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