Organization
FLORIDA PAIN AND REHABILITATION ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
5365 W ATLANTIC AVE, SUITE 504, DELRAY BEACH, FL 33484-8172
(561) 241-9300
(561) 241-9339
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
174400000X
Specialist
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
ME109651
FL
291U00000X
Clinical Medical Laboratory
800025838
FL
3336C0002X
Clinic Pharmacy
PH24372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149537-00
—
FL
05
—
0149537-03
—
FL
Enumeration date
05/16/2006
Last updated
12/08/2025
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