MEDICARE: BAY CENTER FOR PAIN MANAGEMENT PA

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
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1619923158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY CENTER FOR PAIN MANAGEMENT PA

Provider Business Mailing Address
First Line	:	1715 E BAY DR STE A
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-2279
Country	:	US
Telephone Number	:	727-588-0366
Fax Number	:	727-588-0370

Provider Business Practice Location Address
First Line	:	1715 E BAY DR STE A
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-2279
Country	:	US
Telephone Number	:	727-588-0366
Fax Number	:	727-588-0370

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. IMTIAZ HOSSAIN
Credential	:	MD
Telephone Number	:	727-588-0366

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/05/2026

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