Provider Demographics
NPI:1790659597
Name:UNITED PAIN DEVICES, LLC
Entity type:Organization
Organization Name:UNITED PAIN DEVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-687-0186
Mailing Address - Street 1:107 N 11TH ST
Mailing Address - Street 2:PMB 555
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4242
Mailing Address - Country:US
Mailing Address - Phone:850-687-0186
Mailing Address - Fax:
Practice Address - Street 1:112 N 12TH ST UNIT 1616
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-3753
Practice Address - Country:US
Practice Address - Phone:850-687-0186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies