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NPI Code Detail

MEDICARE: ALLEN INVESTORS AND PAIN CLINIC CO, LLC

MEDICARE: ALLEN INVESTORS AND PAIN CLINIC CO, LLC
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
1305S00000XPoint of ServiceFL

General Provider Information

NPI Number : 1558596650
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEN INVESTORS AND PAIN CLINIC CO, LLC
Provider Business Mailing Address
First Line : IN N OUT PAIN CLINIC
Second Line : 7229 N. DALE MABRY HWY #8
City : TAMPA
State : FL
Zip : 33614-2699
Country : US
Telephone Number : 813-374-2416
Fax Number : 813-374-2417
Provider Business Practice Location Address
First Line : 7229 N DALE MABRY HWY
Second Line : SUITE #8
City : TAMPA
State : FL
Zip : 33614-2699
Country : US
Telephone Number : 813-374-2416
Fax Number : 813-374-2417
Authorized Official
Title or Position : OWNER/CEO
Name : MR. TIMOTHY ALLEN
Credential : RPH.
Telephone Number : 813-374-2416
Provider Enumeration Date : 05/19/2009
Last Update Date : 05/19/2009

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Directions to “ALLEN INVESTORS AND PAIN CLINIC CO, LLC ” Practice Location

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