New Tampa Interventional Pain And Sports Medicine, Inc
Physical Medicine & Rehabilitation Physician in Wesley Chapel, FL(View on Map)
Legal Business Name
New Tampa Interventional Pain And Sports Medicine, Inc
NPI Number
1326478942
NPI Type
Organization
Enumeration Date
11/18/2013
Specialties
(Taxonomies)Code
208100000X
208VP0014X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
ME89848
Contact
Information
Purpose
Mailing
Location
Address
2014 ASHLEY OAKS CIR
2014 ASHLEY OAKS CIR
City
Wesley Chapel
Wesley Chapel
State
FL
FL
Postal Code
33544-6400
33544-6400
Country
US
US
Telephone Number
(813) 999-3030
(813) 999-3030
Authorized Official
Name
Dr. Jose De La Torre
Title or Position
OWNER
Telephone Number
(813) 309-1013
Identifiers
Identifier
269279100
P00400544
Identifier State
FL
FL
Identifier Issuer
Unknown
RR MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/09/2013
Provider Address
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