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INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE NPI 1023685062


NPI Information

NPI: 1023685062
Provider Name: INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE

Doing Business As: THE INSTITUTE FOR FLORIDA PAIN SPECIALISTS

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
3010 E 138TH AVE STE 100
TAMPA, FL
ZIP 33613
Phone: (904) 647-5266
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INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE 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. INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE NPI is 1023685062. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Institute For Florida Pain Specialists.

The provider's business location address is:

3010 E 138TH AVE STE 100
TAMPA, FL
ZIP 33613-902
Phone: (904) 647-5266
Fax: (904) 770-5594

The provider's authorized official is Shannon Riley .
The authorized official title is Vp Of Operations and has the following contact phone number (904) 647-5266.

The enumeration date for this NPI number is 6/8/2021 and was last updated on 12/13/2021.


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
12081S0010XPhysical Medicine & RehabilitationSports MedicineNo
2208VP0014XPain MedicineInterventional Pain MedicineYes

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
1014945000MEDICAIDFLORIDA

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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