NPI Database
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Contact Information

TAMPA INSTITUTE FOR PAIN AND SPINE, LLC
13140 ELK MOUNTAIN DR
SUITE B
RIVERVIEW, FL33579
 Phone: 813-513-8477
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neurology

2084N0400X 13 Physician/Neurology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for TAMPA INSTITUTE FOR PAIN AND SPINE, LLC

NPI # 1134571128
LBN Legal business name TAMPA INSTITUTE FOR PAIN AND SPINE, LLC
Authorized official JESSEN MUKALEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2016
Last updated 07/31/2018 - About 8 years ago
Identifiers
FL Medicaid 18353700
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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