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Organization

PRC ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANJAY BAKSHI MD (CEO)
(386) 274-2977
Entity
Organization

Contact information

Practice address
245 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169-5239
(386) 410-4926
(386) 274-2997
Mailing address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
(386) 317-4164

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
FL
208VP0000X
Pain Medicine Physician
Primary
FL
208VP0014X
Interventional Pain Medicine Physician
FL

Other

Enumeration date
06/24/2014
Last updated
10/08/2025
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