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FLORIDA GULF TO BAY ANESTHESIOLOGY PAIN LLC NPI 1912105172


NPI Information

NPI: 1912105172
Provider Name: FLORIDA GULF TO BAY ANESTHESIOLOGY PAIN LLC

Doing Business As: FLORIDA GULF TO BAY PAIN MEDICINE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
118 S OREGON AVE
TAMPA, FL
ZIP 33606
Phone: (813) 253-2273
Get Directions

FLORIDA GULF TO BAY ANESTHESIOLOGY PAIN LLC 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. FLORIDA GULF TO BAY ANESTHESIOLOGY PAIN LLC NPI is 1912105172. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Florida Gulf To Bay Pain Medicine.

The provider's business location address is:

118 S OREGON AVE
TAMPA, FL
ZIP 33606-820
Phone: (813) 253-2273
Fax: (813) 253-2279

The provider's authorized official is Devanand Mangar .
The authorized official title is Owner/president and has the following contact phone number (813) 844-4434.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 12/9/2009.


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 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
139348OTHERFLORIDABCBS

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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