Organization
PRC ASSOCIATES LLC
Active
Other names
Pain Medicine Rehabilitaion & Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY BAKSHI MD (OWNER)
(386) 274-2977
Entity
Organization
Contact information
Practice address
1671 N CLYDE MORRIS BLVD, SUITE 100, DAYTONA BEACH, FL 32117
(386) 274-2977
(386) 274-2362
Mailing address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
(386) 317-5164
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272955501
—
FL
05
—
272955500
—
FL
05
—
272955507
—
FL
Enumeration date
05/09/2006
Last updated
10/08/2025
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