Organization
RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC
Active
Other names
Renew Pain and Wellness Center, Renew Pain and Wellness Center of South Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIE SHATIL (PRACTICE MANAGER)
(954) 256-9422
Entity
Organization
Contact information
Practice address
4614 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6502
(954) 256-9422
(954) 256-9423
Mailing address
4614 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6502
(954) 256-9422
(954) 256-9423
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
02/10/2026
Last updated
04/10/2026
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