FLORIDA PAIN RELIEF GROUP PLLC – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1376994608
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FLORIDA PAIN RELIEF GROUP PLLC
4730 N HABANA AVE STE 104
TAMPA, FL 336147165
Phone: (813) 739-7498
Fax: (813) 878-6850
Type: Location
4730 N HABANA AVE STE 204
TAMPA, FL 336147148
Phone:
Type: Mailing
4730 N HABANA AVE STE 300
TAMPA, FL 336147148
Phone: (813) 739-7498
Fax: (813) 739-7498
Type: Location
4703 N Armenia Ave
Tampa, FL 336032618
Phone: (813) 514-0230
Fax: (813) 514-0231
Type: Location
3450 E Fletcher Ave Ste 350
Tampa, FL 336134699
Phone: (813) 739-7497
Fax: (813) 979-4061
Type: Location
10301 Hagen Ranch Rd Ste B270
Boynton Beach, FL 334373735
Phone: (561) 853-1001
Fax: (561) 737-6703
Type: Location
7206 Curry Ford Rd
Orlando, FL 328225806
Phone: (407) 385-1551
Type: Location
9145 Narcoossee Rd Ste A200
Orlando, FL 328275768
Phone: (407) 385-1551
Type: Location
3230 Hillsdale Ln
Kissimmee, FL 347417562
Phone: (407) 785-1967
Fax: (407) 201-5143
Type: Location
PO BOX 947387
ATLANTA, GA 303947387
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20160908000245 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33614)
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