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Organization

TRILLIUM PAIN MANAGEMENT CENTERS, INC.

Active
Other names
Medical Pain Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
BOBBY L COATES (PRESIDENT)
(727) 403-5221
Entity
Organization

Contact information

Practice address
5425 PARK ST N, ST PETERSBURG, FL 33709-7062
(800) 750-8103
(866) 788-0863
Mailing address
PO BOX 23788, TAMPA, FL 33623-3788
(800) 750-8103
(866) 788-0863

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K2619
BCBS GROUP
FL
Enumeration date
05/24/2007
Last updated
08/22/2020
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