Organization
ALLIANCE MEDICAL PAIN MANAGEMENT L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA H STONE M.D. (PRESIDENT)
(813) 877-6191
Entity
Organization
Contact information
Practice address
10213 LAKE CARROLL WAY, SUITE A, TAMPA, FL 33618-4405
(813) 877-6191
(813) 877-6195
Mailing address
10213 LAKE CARROLL WAY, SUITE A, TAMPA, FL 33618-4405
(813) 877-6191
(813) 877-6195
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27936Y
BCBS
FL
Enumeration date
03/23/2007
Last updated
09/14/2007
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