Healthcare Provider Details

I. General information

NPI: 1194901371
Provider Name (Legal Business Name): BOYNTON PAIN MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 W. BOYNTON BEACH BLVD. #13
BOYNTON BEACH FL
33426
US

IV. Provider business mailing address

1403 W. BOYNTON BEACH BLVD. #13
BOYNTON BEACH FL
33426
US

V. Phone/Fax

Practice location:
  • Phone: 561-374-7437
  • Fax: 561-364-7414
Mailing address:
  • Phone: 561-374-7437
  • Fax: 561-364-7414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW W LINDSEY
Title or Position: OWNER
Credential:
Phone: 954-577-0177