Organization
TOTAL PAIN AND SPINE CARE OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL SHAH MD (OWNER)
(863) 732-7246
Entity
Organization
Contact information
Practice address
2310 NORTH BLVD W STE A, DAVENPORT, FL 33837-8988
(863) 732-7246
(863) 256-2520
Mailing address
3818 W VASCONIA ST, TAMPA, FL 33629-8630
(863) 732-7246
(863) 256-2520
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
10/05/2020
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