Organization
TAMPA PAIN RELIEF CENTER, INC.
Active
Organization
TAMPA PAIN RELIEF CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
2333 W HILLSBOROUGH AVE STE 100, TAMPA, FL 33603-1052
(813) 569-6500
Mailing address
4919 MEMORIAL HWY STE 200, TAMPA, FL 33634-7500
(813) 569-6500
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME0054890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064122700
—
FL
01
—
1024188
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/11/2007
Last updated
05/06/2019
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