Provider Demographics
NPI:1174989214
Name:FLORIDA PAIN & SPINE SOLUTIONS
Entity type:Organization
Organization Name:FLORIDA PAIN & SPINE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:IHAB
Authorized Official - Middle Name:
Authorized Official - Last Name:LABATIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-833-3270
Mailing Address - Street 1:10401 KINGSTON PIKE
Mailing Address - Street 2:ATTN: KENDRA DAVIS
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3282
Mailing Address - Country:US
Mailing Address - Phone:865-437-3080
Mailing Address - Fax:865-531-0722
Practice Address - Street 1:13117 66TH ST
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-1812
Practice Address - Country:US
Practice Address - Phone:813-833-3270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
No2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury MedicineGroup - Single Specialty