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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC
NPI 1417809880
Pain Medicine - Interventional Pain Medicine in Hollywood, FL

Active since February 10, 2026CLIA 10D2343531 · Waiver
4614 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021(954) 256-9422(954) 256-9423 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Apr 10, 2026, Mar 23, 2026 and 1 more (4 updates tracked since 2026).

About Renew Pain And Wellness Center Of South Florida Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC (NPI 1417809880) is a healthcare organization registered as an interventional pain medicine in Hollywood, Florida and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Davie Shatil, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1417809880
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameRENEW PAIN AND WELLNESS CENTER OF SOUTH FLORIDA INC
Location Address4614 HOLLYWOOD BLVDHollywood, FL 33021-6502
Mailing Address4614 Hollywood BlvdHollywood, FL 33021-6502 · (954) 256-9422 · Fax (954) 256-9423
Phone(954) 256-9422
Fax(954) 256-9423
Organization SubpartNo
Authorized OfficialDavie ShatilPractice Manager · (954) 256-9422
Enumeration DateFebruary 10, 2026
Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1417809880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
4614 HOLLYWOOD BLVD, Hollywood, FL 33021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2343531

Renew Pain And Wellness Center Of South Florida Inc · Hollywood, FL
Active · expires May 6, 2028
CLIA Number10D2343531
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorBen S. Shatil
Laboratory Phone(954) 256-9422
Laboratory LocationRenew Pain And Wellness Center Of South Florida Inc4614 Hollywood Blvd, Hollywood, FL 33021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD A REINES, M.D., P.A.
Family Medicine
4614 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021
Broward County (954) 987-7230
DR. RICHARD ALAN REINES M.D.
Family Medicine
4614 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021
Broward County (954) 987-7230
SINA MENASHEHOFF DO
Physical Medicine & Rehabilitation (Pain Medicine)
4614 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021
Broward County (954) 256-9422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renew Pain And Wellness Center Of South Florida Inc's NPI number?

The NPI number for Renew Pain And Wellness Center Of South Florida Inc is 1417809880. It was assigned to this organization in the NPPES registry on February 10, 2026.

Where is Renew Pain And Wellness Center Of South Florida Inc located?

Renew Pain And Wellness Center Of South Florida Inc is located at 4614 Hollywood Blvd, Hollywood, FL 33021. The listed phone number is (954) 256-9422.

What is Renew Pain And Wellness Center Of South Florida Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Renew Pain And Wellness Center Of South Florida Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2343531) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renew Pain And Wellness Center Of South Florida Inc was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.