Renew Pain and Wellness Center of South Florida – Interventional Pain Medicine Physician, NPI 1417809880

Renew Pain and Wellness Center of South Florida is a healthcare provider. based in Hollywood, Florida. specializing in Interventional Pain Medicine Physician. The NPI Number for Renew Pain and Wellness Center of South Florida is 1417809880

Main info

Organization
Name
Renew Pain and Wellness Center of South Florida
NPI
1417809880
Phone
(954) 256-9422
Address
4614 HOLLYWOOD BLVD
Authorized Official
DAVIE SHATIL PRACTICE MANAGER
Enumeration Date
10 February 2026
Last Update Date
10 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness90
Years active:0State licenses:0Digital endpoints

Provider Addresses for Renew Pain and Wellness Center of South Florida

  • 4614 HOLLYWOOD BLVD

    HOLLYWOOD, FL 330216502

    Phone: (954) 256-9422

    Fax: (954) 256-9423

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33021)

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Frequently asked questions

Can I cross-check Renew Pain and Wellness Center of South Florida using NPI 1417809880?
NPI 1417809880 belongs to Renew Pain and Wellness Center of South Florida; compare other details if you need extra assurance.
Is there an active status for Renew Pain and Wellness Center of South Florida?
For scheduling context, Renew Pain and Wellness Center of South Florida is shown as active in the registry.
What expertise is attributed to Renew Pain and Wellness Center of South Florida?
Renew Pain and Wellness Center of South Florida's specialty line reads Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Renew Pain and Wellness Center of South Florida located near Hollywood?
Renew Pain and Wellness Center of South Florida currently maps to Hollywood, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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