Organization
FLORIDA GULF TO BAY ANESTHESIOLOGY PAIN LLC
Active
Organization
FLORIDA GULF TO BAY ANESTHESIOLOGY PAIN LLC
Active
Other names
Florida Gulf to Bay Pain Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANAND MANGAR MD (OWNER/PRESIDENT)
(813) 844-4434
Entity
Organization
Contact information
Practice address
118 S OREGON AVE, TAMPA, FL 33606-1820
(813) 253-2273
(813) 253-2279
Mailing address
1 TAMPA GENERAL CIR, A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39348
BCBS
FL
Enumeration date
07/10/2007
Last updated
12/09/2009
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