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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