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NPI Code Detail

MEDICARE: CENTER FOR PAIN MANAGEMENT, LLC

MEDICARE: CENTER FOR PAIN MANAGEMENT, LLC
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
1208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1538487582
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR PAIN MANAGEMENT, LLC
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 : 469-458-9222
Fax Number : 540-918-7202
Provider Business Practice Location Address
First Line : 1600 CRAIN HWY S
Second Line : SUITE 301
City : GLEN BURNIE
State : MD
Zip : 21061-5577
Country : US
Telephone Number : 410-787-8315
Fax Number : 410-787-8316
Authorized Official
Title or Position : RCM MANAGER
Name : SHANEKA TINCH
Credential :
Telephone Number : 469-458-9222
Provider Enumeration Date : 05/13/2010
Last Update Date : 12/08/2025

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Directions to “CENTER FOR PAIN MANAGEMENT, LLC ” Practice Location

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