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Contact Information

INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE
3010 E 138TH AVE STE 100
TAMPA, FL33613-3902
 Phone: 904-647-5266
 Fax: 904-770-5594
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE

NPI # 1023685062
LBN Legal business name INSTITUTE FOR HEALTH SPORTS SPINE REHABILITATION & PAIN MANAGE
Authorized official BRIDGET ROBERTS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2021
Last updated 08/13/2025 - About 10 months ago
Identifiers
FL Medicaid 014945000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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