MEDICARE: TAMPA PAIN RELIEF CENTER, INC.

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	332900000X	Non-Pharmacy Dispensing Site	ME0054890	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1024188	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1962552299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA PAIN RELIEF CENTER, INC.

Provider Business Mailing Address
First Line	:	4919 MEMORIAL HWY STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-7500
Country	:	US
Telephone Number	:	813-569-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2333 W HILLSBOROUGH AVE STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1052
Country	:	US
Telephone Number	:	813-569-6500
Fax Number	:

Authorized Official
Title or Position	:	OFFICER AND AUTHORIZED OFFICIAL
Name	:	JENNIFER BOYD BALDOCK
Credential	:
Telephone Number	:	615-234-5900

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	05/06/2019

Similar Medicare Providers

1356824320 — TAMPA GENERAL MEDICAL GROUP INC
Practice Location Address:

2333 W HILLSBOROUGH AVE
TAMPA, FL
33603-1052

Practice Phone: 813-844-7000
Practice Fax:

1508834706 — EDWARD LUBIN MD
Practice Location Address:

2333 W HILLSBOROUGH AVE STE 100
TAMPA, FL
33603-1052

Practice Phone: 727-547-4700
Practice Fax: 727-394-8661

1750331500 — ARMENIA AMBULATORY SURGERY CENTER LLC
Practice Location Address:

2333 W HILLSBOROUGH AVE STE 120
TAMPA, FL
33603-1052

Practice Phone: 813-871-9032
Practice Fax: 813-870-9543

1952345423 — DR. ERICK ANTONIO GRANA MD
Practice Location Address:

2333 W HILLSBOROUGH AVE , SUITE 100
TAMPA, FL
33603-1052

Practice Phone: 813-872-4492
Practice Fax: 813-870-1502

1215250246 — MAHIN SHARIFI
Practice Location Address:

2333 W HILLSBOROUGH AVE , SUITE #100
TAMPA, FL
33603-1052

Practice Phone: 813-872-4492
Practice Fax: 813-870-1502

1023350410 — KIMBERLY MARIE LAMARTIN MD
Practice Location Address:

2333 W HILLSBOROUGH AVE STE 160
TAMPA, FL
33603-1052

Practice Phone: 813-660-6300
Practice Fax: 813-660-6620

Directions to “TAMPA PAIN RELIEF CENTER, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.