Organization
BAYOU ANESTHESIA AND PAIN MANAGEMENT ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD STEVEN TRAUB MD (OWNER PRESIDENT)
(727) 545-8454
Entity
Organization
Contact information
Practice address
6221 66TH ST, PINELLAS PARK, FL 33781-5025
(727) 545-8454
(727) 547-6983
Mailing address
PO BOX 30130, TAMPA, FL 33630-3130
(800) 919-1190
(706) 860-7973
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
FL
208VP0000X
Pain Medicine Physician
Primary
ME53592
FL
208VP0014X
Interventional Pain Medicine Physician
ME53592
FL
367500000X
Certified Registered Nurse Anesthetist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267408400
—
FL
05
—
267408401
—
FL
05
—
267408402
—
FL
01
—
34750
BCBSFL
FL
Enumeration date
08/29/2005
Last updated
07/21/2022
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