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 STE 504, DELRAY BEACH, FL 33484-8194
(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
ME109651
FL
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
01
—
34259B
MEDICARE
FL
Enumeration date
10/05/2017
Last updated
12/08/2025
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