Healthcare Provider Details

I. General information

NPI: 1730343138
Provider Name (Legal Business Name): INTERVENTIONAL PAIN PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5622 MARINE PKWY STE 18
NEW PORT RICHEY FL
34652-4330
US

IV. Provider business mailing address

PO BOX 158
LUTZ FL
33548-0158
US

V. Phone/Fax

Practice location:
  • Phone: 727-597-8430
  • Fax:
Mailing address:
  • Phone: 813-343-2694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUI ZHU
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 352-212-5547