Healthcare Provider Details
I. General information
NPI: 1225918626
Provider Name (Legal Business Name): TAMPA BAY PAIN ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/05/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7050 GALL BLVD
ZEPHYRHILLS FL
33541-1347
US
IV. Provider business mailing address
3414 LOGGERHEAD WAY
WESLEY CHAPEL FL
33544-7709
US
V. Phone/Fax
- Phone: 813-788-0411
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAVIER
ROJAS
Title or Position: PRESIDENT
Credential: MD
Phone: 813-416-9283