Organization

Bayou Anesthesia And Pain Management Associates Pa

Pain Medicine Physician in Pinellas Park, FL(View on Map)

Legal Business Name

Bayou Anesthesia And Pain Management Associates Pa

NPI Number

1801889522

NPI Type

Organization

Enumeration Date

08/29/2005

Specialties

(Taxonomies)

Licenses

State

Florida

License Number

ME53592

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 30130
6221 66TH ST

City

Tampa
Pinellas Park

State

FL
FL

Postal Code

33630-3130
33781-5025

Country

US
US

Telephone Number

(800) 919-1190
(727) 545-8454

Authorized Official

Name

Dr. Todd Traub

Title or Position

OWNER PRESIDENT

Telephone Number

(727) 545-8454

Identifiers

Identifier

267408400
34750
267408401
267408402

Identifier State

FL
FL
FL
FL

Identifier Issuer

Unknown
BCBSFL
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

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