Healthcare Provider Details

I. General information

NPI: 1558596650
Provider Name (Legal Business Name): ALLEN INVESTORS AND PAIN CLINIC CO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7229 N DALE MABRY HWY SUITE #8
TAMPA FL
33614-2699
US

IV. Provider business mailing address

IN N OUT PAIN CLINIC 7229 N. DALE MABRY HWY #8
TAMPA FL
33614-2699
US

V. Phone/Fax

Practice location:
  • Phone: 813-374-2416
  • Fax: 813-374-2417
Mailing address:
  • Phone: 813-374-2416
  • Fax: 813-374-2417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. TIMOTHY ALLEN
Title or Position: OWNER/CEO
Credential: RPH.
Phone: 813-374-2416