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HYDE PARK MASSAGE NPI 1265734156


NPI Information

NPI: 1265734156
Provider Name: HYDE PARK MASSAGE
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
412 S HOWARD AVE
TAMPA, FL
ZIP 33606
Phone: (813) 244-4760
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HYDE PARK MASSAGE is a pain clinic center in Tampa, FL. HYDE PARK MASSAGE NPI is 1265734156. The provider is registered as an organization entity type.

The provider's business location address is:

412 S HOWARD AVE
TAMPA, FL
ZIP 33606-770
Phone: (813) 244-4760

The provider's authorized official is Judson Randall .
The authorized official title is Sole Proprietor and has the following contact phone number (813) 244-4760.

The enumeration date for this NPI number is 11/26/2010 and was last updated on 11/26/2010.


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
1261QP3300XClinic/CenterPainMA44083FLORIDAYes

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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