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NPI Code Detail

MEDICARE: FLORIDA PAIN & REHABILITATION INSTITUTE INC

MEDICARE: FLORIDA PAIN & REHABILITATION INSTITUTE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1174128748
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA PAIN & REHABILITATION INSTITUTE INC
Provider Business Mailing Address
First Line : 4960 SW 72ND AVE STE 405
Second Line :
City : MIAMI
State : FL
Zip : 33155-5506
Country : US
Telephone Number : 855-836-7246
Fax Number :
Provider Business Practice Location Address
First Line : 6550 N FEDERAL HWY STE 522
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-1417
Country : US
Telephone Number : 954-493-5048
Fax Number :
Authorized Official
Title or Position : RCM MANAGER
Name : SHANEKA TINCH
Credential :
Telephone Number : 469-458-9222
Provider Enumeration Date : 12/02/2020
Last Update Date : 12/08/2025

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Directions to “FLORIDA PAIN & REHABILITATION INSTITUTE INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.