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NPI Code Detail

MEDICARE: PHYSICAL MEDICINE ASSOCIATES, LTD

MEDICARE: PHYSICAL MEDICINE ASSOCIATES, LTD
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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16688740024OTHERVAMEDICARE DME

General Provider Information

NPI Number : 1972971133
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL MEDICINE ASSOCIATES, LTD
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 : 7858 SHRADER RD
Second Line : SUITE 1
City : RICHMOND
State : VA
Zip : 23294-4222
Country : US
Telephone Number : 804-213-2390
Fax Number : 804-237-8055
Authorized Official
Title or Position : RCM MANAGER
Name : SHANEKA TINCH
Credential :
Telephone Number : 469-458-9222
Provider Enumeration Date : 09/04/2015
Last Update Date : 12/08/2025

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Directions to “PHYSICAL MEDICINE ASSOCIATES, LTD ” Practice Location

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