RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC – NPI #1417809880
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC is a provider located in HOLLYWOOD, FL. NPPES has assigned the NPI number 1417809880 to RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC on February 10, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was last updated on Apr 10, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC below.

NPI Profile for
RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC

NPI Number
1417809880
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC
Primary location
4614 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021-6502
Phone: (954) 256-9422 Fax: (954) 256-9423
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVIE SHATIL
PRACTICE MANAGER
Phone: (954) 256-9422
Updated
Certification Date
Apr 10, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.