Healthcare Provider Details

I. General information

NPI: 1407146301
Provider Name (Legal Business Name): SINA MENASHEHOFF DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9325 GLADES RD SUITE 205
BOCA RATON FL
33434-3988
US

IV. Provider business mailing address

180 JFK DR
ATLANTIS FL
33462-6641
US

V. Phone/Fax

Practice location:
  • Phone: 561-314-7200
  • Fax: 561-314-7201
Mailing address:
  • Phone: 561-967-6500
  • Fax: 561-433-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS 12571
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: