Organization
TAMPA PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VANDERCAR MD (OWNER)
(813) 769-5629
Entity
Organization
Contact information
Practice address
3500 E FLETCHER AVE, ROOM 204, TAMPA, FL 33613-4708
(813) 769-5629
(813) 978-8797
Mailing address
3500 E FLETCHER AVE, ROOM 204, TAMPA, FL 33613-4708
(813) 769-5629
(813) 978-8797
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME58829
FL
Other
Enumeration date
08/03/2006
Last updated
07/27/2007
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