Organization
FLORIDA PAIN AND REHABILITATION ASSOCIATES INC
Active
Other names
NPI RX
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
1693 LEE RD STE B, WINTER PARK, FL 32789-2260
(407) 622-5766
(407) 622-5767
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
3336C0003X
Community/Retail Pharmacy
Primary
PH 24372
FL
3336C0004X
Compounding Pharmacy
PH 28174
FL
Other
Enumeration date
05/26/2015
Last updated
12/08/2025
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