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Organization

TAMPA PAIN RELIEF CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHROIZED OFFICIAL)
(615) 234-5900
Entity
Organization

Contact information

Practice address
3000 MEDICAL PARK DR STE 510, TAMPA, FL 33613-6602
(813) 569-6500
Mailing address
4919 MEMORIAL HWY STE 200, TAMPA, FL 33634-7500
(813) 569-6500

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262580601
FL
Enumeration date
10/02/2015
Last updated
05/06/2019
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