Organization
TAMPA PAIN RELIEF CENTER, INC
Active
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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