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

Q: 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.

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: October 18, 2026.

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

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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), doing business as Renew Pain And Wellness Center Of South Florida, 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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Other Names 1

Doing Business AsRenew Pain And Wellness Center Of South Florida

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renew Pain And Wellness Center Of South Florida Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Renew Pain And Wellness Center Of South Florida Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sina Menashehoff, DO

Physical Medicine and Rehabilitation

NPI 1407146301

4614 HOLLYWOOD BLVD
Hollywood, FL 33021

(954) 256-9422

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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. The provider is doing business as Renew Pain and Wellness Center of South Florida.

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.

Is Renew Pain And Wellness Center Of South Florida Inc enrolled in Medicare?

Yes. Renew Pain And Wellness Center Of South Florida Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renew Pain And Wellness Center Of South Florida Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Renew Pain And Wellness Center Of South Florida Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 2 months 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.