FLORIDA PAIN RELIEF GROUP PLLC (NPI# 1619421765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619421765 |
| Entity Type | Organization |
| Organization Name | FLORIDA PAIN RELIEF GROUP PLLC |
| Other Organization Name | FLORIDA PRIMARY CARE CLINICS |
| Practice Address |
4730 N Habana Ave Ste 300 Tampa FL 33614-7163 |
| Mailing Address |
4730 N Habana Ave Ste 204 Tampa FL 33614-7163 |
| Practice Telephone | 8135492134 |
| Practice Fax Number | 8138701383 |
| Mailing Telephone | 8135492134 |
| Mailing Fax Number | 8138701383 |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |
| Authorized Official Name | DAVID WOOD (CDO) |
| Authorized Official Telephone | 8135492134 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA PAIN RELIEF GROUP PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Primary Care Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275072597 | Florida Pain Relief Group Pllc | Counselor | 595 N Courtenay Pkwy Ste 203b, Merritt Island, FL 32953-4790 | 2017-02-20 |
| 1588116131 | Florida Pain Relief Group Pllc | Physician Assistant | 2300 S Pine Ave, Ocala, FL 34471-5102 | 2016-10-31 |
| 1356895403 | Florida Pain Relief Group Pllc | Nurse Practitioner | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2016-08-06 |
| 1376994608 | Florida Pain Relief Group Pllc | Counselor | 4730 N Habana Ave Ste 300, Tampa, FL 33614-7148 | 2016-06-28 |
| Street Address |
4730 N HABANA AVE STE 300 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851359301 | Mauricio Orbegozo | Anesthesiology | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2006-05-03 |
| 1356895403 | Florida Pain Relief Group Pllc | Nurse Practitioner | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2016-08-06 |
| 1518313808 | Cheri Bellenger | Nurse Practitioner | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2016-05-05 |
| 1144687245 | Anesthesia Professional Group LLC | Nurse Anesthetist, Certified Registered | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2016-01-20 |
| 1942671680 | Eric Allen Shelton | Physician Assistant | 4730 N Habana Ave, Ste 104, Tampa, FL 33614-7163 | 2015-10-07 |
| 1932581071 | Physician Partners of America Florida Medical Holdings LLC | Physical Medicine & Rehabilitation | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2015-06-25 |
| 1487045407 | Doctors Imaging LLC | Clinic/Center | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2015-02-12 |
| 1881082865 | Southeast Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2014-12-29 |
| 1679970941 | Orthopaedic Specialists of Miami, Pllc | Orthopaedic Surgery | 4730 N Habana Ave, Suite 104, Tampa, FL 33614-7163 | 2014-12-02 |
| 1225434293 | National Medical Practices of Florida Pllc | Orthopaedic Surgery | 4730 N Habana Ave, Suite 300, Tampa, FL 33614-7163 | 2014-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909212 | Stefanny Molina Mesa | Family Medicine | 3016 W Kirby St, Tampa, FL 33614-3303 | 2020-07-21 |
| 1245869015 | Zenlifemd Pa | Family Medicine | 18101 Highwoods Preserve Pkwy Ste 120, Tampa, FL 33647-1791 | 2020-04-03 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1447898101 | Palms Clinical Services Inc | Family Medicine | 17008 Palm Pointe Dr Ste 101, Tampa, FL 33647-3504 | 2019-12-12 |
| 1396382545 | Advanced Medical Treatments, LLC | Family Medicine | 4401 W Kennedy Blvd Fl 3, Tampa, FL 33609-2058 | 2019-12-06 |
| 1528604204 | Amarillys Alvarado-sojo | Family Medicine | 10306 Manta Way, Tampa, FL 33615-4252 | 2019-11-18 |
| 1891345138 | Adeel Farooqi | Family Medicine | 3905 W Sevilla St, Tampa, FL 33629-8604 | 2019-09-18 |
| 1003464074 | Leslie Kapp-jones | Family Medicine | 3100 E Fletcher Ave Ste 126, Tampa, FL 33613-4613 | 2019-09-03 |
| 1053895375 | Barbara Pierre-louis | Family Medicine | 12552 Castle Hill Dr, Tampa, FL 33624-4183 | 2018-09-21 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.