Healthcare Provider Details

I. General information

NPI: 1639695794
Provider Name (Legal Business Name): POHLMAN PAIN ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2017
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 W ATLANTIC AVE
DELRAY BEACH FL
33445-4431
US

IV. Provider business mailing address

2710 W ATLANTIC AVE
DELRAY BEACH FL
33445-4431
US

V. Phone/Fax

Practice location:
  • Phone: 754-206-1877
  • Fax: 754-229-3866
Mailing address:
  • Phone: 754-206-1877
  • Fax: 754-229-3866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS14281
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DANE POHLMAN
Title or Position: PRESIDENT/CEO
Credential: DO
Phone: 314-283-8738