GULFSHORE PAIN & WELLNESS CENTRE (NPI# 1881994606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881994606 |
| Entity Type | Organization |
| Organization Name | GULFSHORE PAIN & WELLNESS CENTRE |
| Practice Address |
4700 N Habana Ave 403 Tampa FL 33614-7160 |
| Practice Telephone | 8138741644 |
| Practice Fax Number | 8138741984 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2011-05-13 |
| Authorized Official Name | FRED J TURNER (MANAGER/ACTIVE PHYSICIAN) |
| Authorized Official Telephone | 8138741644 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
4700 N HABANA AVE 403 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387961 | Jose M Sanchez Ojeda | General Practice | 4700 N Habana Ave, Ste 101, Tampa, FL 33614-7160 | 2005-12-21 |
| 1689135212 | Laura Renee Mercado | Dietitian, Registered | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2019-03-27 |
| 1194239780 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2017-11-20 |
| 1437690732 | Cecelia Addison | Counselor | 4700 N Habana Ave, Suite 500, Tampa, FL 33614-7160 | 2017-03-20 |
| 1699135061 | Tampa Vamc | Psychiatric Residential Treatment Facility | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2016-02-29 |
| 1942555180 | Mcilwain Medical Group, Pa | Internal Medicine | 4700 N Habana Ave, Suite 201, Tampa, FL 33614-7160 | 2012-07-13 |
| 1952664435 | Burnette & Silverfield Mds Plc | Internal Medicine | 4700 N Habana Ave, Suite 303, Tampa, FL 33614-7160 | 2012-06-20 |
| 1023248945 | Jessica Mesa | Massage Therapist | 4700 N Habana Ave, 700, Tampa, FL 33614-7160 | 2009-07-27 |
| 1982839510 | Relief Medical Center, LLC | Legal Medicine | 4700 N Habana Ave, Suite 701, Tampa, FL 33614-7160 | 2009-05-27 |
| 1821256629 | Seifu M Demissie | Pediatrics | 4700 N Habana Ave, Suite 200, Tampa, FL 33614-7160 | 2008-05-28 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1790073831 | Relief of Pain | Clinic/Center | 1030 W Hillsborough Ave, Tampa, FL 33603-1312 | 2011-07-11 |
| 1639489776 | Pain Care Management of Tampa, LLC | Clinic/Center | 1121 Marbella Plaza Dr, Tampa, FL 33619-7905 | 2010-10-07 |
| 1497087076 | Kabs Goodwill, LLC | Clinic/Center | 2806 E Bearss Ave, Tampa, FL 33613-2653 | 2010-02-05 |
| 1396978474 | National Injury Center LLC | Clinic/Center | 1307 W Busch, Tampa, FL 33612 | 2009-08-24 |
| 1194911784 | Doctors Comprehensive Spine Center Inc | Clinic/Center | 1931 West Mlk Jr Blvd, Suite A, Tampa, FL 33607 | 2007-09-18 |
| 1265734156 | Hyde Park Massage | Clinic/Center | 412 S Howard Ave, Tampa, FL 33606-1770 | 2010-11-26 |
| 1952621963 | Pain Management of Tampa, LLC. | Clinic/Center | 2901 W Busch Blvd, Suite #807, Tampa, FL 33618-4523 | 2010-06-02 |
| 1215034392 | David P. Myers, M.d., P.a. | Clinic/Center | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
| 1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
| 1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| 1730611526 | Metro Medical Center Corporation | Clinic/Center | 3940 Metro Pkwy Ste 103, Fort Myers, FL 33916-9407 | 2017-03-30 |
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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.