Organization
PAIN CARE MANAGEMENT OF TAMPA, LLC
Active
Organization
PAIN CARE MANAGEMENT OF TAMPA, LLC
Active
Other names
Pain Care Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C R LONG (MANAGING MEMBER)
(321) 251-4462
Entity
Organization
Contact information
Practice address
1121 MARBELLA PLAZA DR, TAMPA, FL 33619-7905
(813) 571-3233
(813) 630-5875
Mailing address
5036 DR PHILLIPS BLVD, SUITE 337, ORLANDO, FL 32819-3310
(321) 251-4462
(888) 469-1872
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
PMC268
FL
Other
Enumeration date
10/07/2010
Last updated
02/13/2014
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