Provider Demographics
NPI:1023496452
Name:ACUTE PAIN SPECIIALISTS LLC
Entity type:Organization
Organization Name:ACUTE PAIN SPECIIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-510-4970
Mailing Address - Street 1:13301 W HILLSBOROUGH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-9676
Mailing Address - Country:US
Mailing Address - Phone:813-510-4970
Mailing Address - Fax:813-510-4969
Practice Address - Street 1:13301 W HILLSBOROUGH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-9676
Practice Address - Country:US
Practice Address - Phone:813-510-4970
Practice Address - Fax:813-510-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11139207LP2900X
FLME109696207X00000X
FLME 113016207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGR108YMedicare UPIN
FLGF765YMedicare UPIN
FLGF7652Medicare UPIN
FLF1021YMedicare UPIN