| Transitional Pain & Specialty Group | |
|
1307 W Kennedy Blvd Tampa FL 33606-1848 | |
| (813) 495-5567 | |
| Not Available |
| Full Name | Transitional Pain & Specialty Group |
|---|---|
| Speciality | Pain Medicine |
| Location | 1307 W Kennedy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Richa Sutaria (PRESIDENT) |
| Authorized Official Contact | 8132956809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Pain & Specialty Group 23110 State Road 54 Ste 446 Lutz FL 33549-6933 Ph: (813) 295-6809 | Transitional Pain & Specialty Group 1307 W Kennedy Blvd Tampa FL 33606-1848 Ph: (813) 495-5567 |
| NPI Number | 1205569233 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/17/2025 |
| Medicare PECOS PAC ID | 4880070556 |
|---|---|
| Medicare Enrollment ID | O20221004000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205569233 | NPI | - | NPPES |
| Provider Name | Janita M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609343524 PECOS PAC ID: 8921331398 Enrollment ID: I20190618000995 |
| Provider Name | Russell Deutscher |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1750745188 PECOS PAC ID: 7517231434 Enrollment ID: I20210401000106 |
| Provider Name | Richa K Sutaria |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1285089649 PECOS PAC ID: 1951689124 Enrollment ID: I20211011001180 |
| Provider Name | Paul A Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951442 PECOS PAC ID: 6103293196 Enrollment ID: I20221103002387 |
| Provider Name | Stephany Cordeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235988833 PECOS PAC ID: 2567903370 Enrollment ID: I20240920000027 |
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