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NPI Code Detail

MEDICARE: FLORIDA PAIN RELIEF GROUP PLLC

MEDICARE: FLORIDA PAIN RELIEF GROUP PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician
2101YM0800XMental Health Counselor
3207LP2900XPain Medicine (Anesthesiology) Physician
4208VP0014XInterventional Pain Medicine Physician
5367500000XCertified Registered Nurse Anesthetist
6363LF0000XFamily Nurse Practitioner
7363L00000XNurse Practitioner
8363LP0808XPsychiatric/Mental Health Nurse Practitioner
9363A00000XPhysician Assistant
102081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number : 1376994608
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA PAIN RELIEF GROUP PLLC
Provider Business Mailing Address
First Line : PO BOX 947387
Second Line :
City : ATLANTA
State : GA
Zip : 30394-7387
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4730 N HABANA AVE STE 104
Second Line :
City : TAMPA
State : FL
Zip : 33614-7165
Country : US
Telephone Number : 813-739-7498
Fax Number : 813-878-6850
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : TRACIE GARI
Credential :
Telephone Number : 813-549-2134
Provider Enumeration Date : 06/28/2016
Last Update Date : 09/29/2025

Similar Medicare Providers

1043667520 — HEIDI MATTISON
Practice Location Address:
4730 N HABANA AVE STE 104
TAMPA, FL
33614-7165
Practice Phone: 813-549-2134
Practice Fax:
1194787838 — JORGE J LEAL MD
Practice Location Address:
4730 N HABANA AVE STE 104
TAMPA, FL
33614-7165
Practice Phone: 813-739-7498
Practice Fax: 813-864-0788
1285697144 — RODOLFO GARI M.D.
Practice Location Address:
4730 N HABANA AVE STE 104
TAMPA, FL
33614-7165
Practice Phone: 813-549-2134
Practice Fax: 813-549-2136
1407875065 — DR. ABRAHAM RIVERA MD
Practice Location Address:
4730 N HABANA AVE STE 104
TAMPA, FL
33614-7165
Practice Phone: 813-549-2134
Practice Fax:
1104092972 — DR. NEIL JAMES ELLIS M.D.
Practice Location Address:
4730 N HABANA AVE STE 104
TAMPA, FL
33614-7165
Practice Phone: 727-548-6100
Practice Fax:
1619368313 — DR. ELAINE RIEFKOHL ORTIZ MD
Practice Location Address:
4730 N HABANA AVE STE 101
TAMPA, FL
33614-7165
Practice Phone: 813-955-4289
Practice Fax: 813-537-1034

Directions to “FLORIDA PAIN RELIEF GROUP PLLC ” Practice Location

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