Organization
PAIN TREATMENT CENTER OF FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S. SIDHOM MD (GENERAL PARTNER)
(813) 731-0416
Entity
Organization
Contact information
Practice address
4106 HENDERSON BLVD, TAMPA, FL 33629-5750
(813) 731-0416
Mailing address
PO BOX 1005, LUTZ, FL 33548-1005
(813) 731-0416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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