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PAN AMERICAN PAIN INSTITUTE PL NPI 1023195658


NPI Information

NPI: 1023195658
Provider Name: PAN AMERICAN PAIN INSTITUTE PL
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D1103554

Address:
16542 N DALE MABRY HWY
TAMPA, FL
ZIP 33618
Phone: (813) 908-7868
Get Directions

PAN AMERICAN PAIN INSTITUTE PL is an interventional pain medicine pain medicine in Tampa, FL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PAN AMERICAN PAIN INSTITUTE PL NPI is 1023195658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16542 N DALE MABRY HWY
TAMPA, FL
ZIP 33618-325
Phone: (813) 908-7868

The provider's authorized official is Dario Aquiles Grisales .
The authorized official title is OWNER PROVIDERProvider and has the following contact phone number (813) 908-7868.

The CLIA number assigned to this NPI record is 10D1103554 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 2/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineME79046FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K8120MEDICARE PINFLORIDA
2DD7254OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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