Organization
PAIN & URGENT CARE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL A MONTOYA MD (PRESIDENT & DIRECTOR)
(813) 304-2361
Entity
Organization
Contact information
Practice address
6802 N ARMENIA AVE, TAMPA, FL 33604-5776
(813) 304-2361
(813) 304-2363
Mailing address
205 N PLANT AVE, PLANT CITY, FL 33563-4731
(813) 304-2361
(813) 304-2363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 105157
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME 105157
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME 105157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003087300
—
FL
Enumeration date
07/13/2010
Last updated
04/10/2013
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