| NPI | 1215264478 |
|---|---|
| Other Name | GTBA PAIN EAST TAMPA |
| Entity Type | Organization |
| Authorized Contact | DEVANAND MANGAR CEO/President 813-844-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2012-05-09 |