| NPI | 1215264478 |
|---|---|
| Other Name | GTBA PAIN EAST TAMPA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CORVINI CEO/President 865-507-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2024-06-04 |