| Pain Rehabilitation Institute | |
|
5820 W Cypress St Suite B Tampa FL 33607-1751 | |
| (813) 636-8811 | |
| (813) 636-8855 |
| Full Name | Pain Rehabilitation Institute |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 5820 W Cypress St, Tampa, Florida |
| Authorized Official Name and Position | Walter Edward Afield (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8136368811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Rehabilitation Institute 5820 W Cypress St Suite B Tampa FL 33607-1751 Ph: (813) 636-8811 | Pain Rehabilitation Institute 5820 W Cypress St Suite B Tampa FL 33607-1751 Ph: (813) 636-8811 |
| NPI Number | 1225107196 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225107196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME9434 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME9434 (Florida) | Primary |
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