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Organization
PHYSICAL MEDICINE ASSOCIATES LTD
Active
Organization
PHYSICAL MEDICINE ASSOCIATES LTD
Active
Other names
National Spine and Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
3620 JOSEPH SIEWICK DR STE 101, FAIRFAX, VA 22033-1757
(703) 914-8000
(703) 642-1876
Mailing address
4960 SW 72ND AVE STE 405, MIAMI, FL 33155-5506
(469) 458-9222
(540) 918-7202
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
12/08/2025
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