Healthcare Provider Details

I. General information

NPI: 1275264699
Provider Name (Legal Business Name): AURORA PAIN CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14841 N FLORIDA AVE
TAMPA FL
33613-1825
US

IV. Provider business mailing address

307 W DR MARTIN LUTHER KING JR BLVD
TAMPA FL
33603-3501
US

V. Phone/Fax

Practice location:
  • Phone: 813-303-0777
  • Fax:
Mailing address:
  • Phone: 813-454-5715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZHIXIN WANG
Title or Position: OWNER
Credential: DPT
Phone: 813-454-5715