Organization
PRC ASSOCIATES LLC
Active
Organization
PRC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY BAKSHI (OWNER)
(917) 992-4806
Entity
Organization
Contact information
Practice address
325 CLYDE MORRIS BLVD STE 400, ORMOND BEACH, FL 32174-8185
(386) 274-2977
Mailing address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5851140010
DME
FL
Enumeration date
05/22/2026
Last updated
08/21/2026
Update your record
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