Organization · NPI-2

Center For Pain Management LLC

Pain Medicine, Interventional Pain Medicine · Bowie, MD

NPI number1023309010
StatusActive
Last updated in NPPESDec 8, 2025

Details

NPI
1023309010
Entity type
Organization (NPI-2)
Legal business name
Center For Pain Management LLC
Organization subpart
No
Enumeration date
Apr 25, 2011
Certification date
Dec 8, 2025
Last updated
Dec 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine–MDYes

Practice location

16900 Science Dr
Ste 100
Bowie, MD 20715-4401

Phone 301-464-7008

Mailing address

4960 Sw 72nd Ave Ste 405
Miami, FL 33155-5506

Phone 469-458-9222 · Fax 540-918-7202

Authorized official

Shaneka Tinch
Rcm Manager
4694589222

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