Active NPI
PRC Associates LLC
- Pain Medicine Physician
- Port Orange, FL
National Provider Identifier
1902118201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PRC ASSOCIATES LLC
- Practice address
- 1165 Dunlawton Ave Ste 101
Port Orange, FL 32127-2924 - Phone
- (386) 760-0815
- Fax
- (386) 767-7890
- NPI assigned
- Jul 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjay Bakshi, MD
- Title
- Owner
- Phone
- (386) 274-2977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
1165 Dunlawton Ave Ste 101
Port Orange, FL 32127-2924
Mailing address
1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2005902 | PRC Associates LLC | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1902118201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 N CLYDE MORRIS BLVD STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175590",
"telephone_number": "386-274-2977",
"fax_number": "386-274-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 DUNLAWTON AVE STE 101",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321272924",
"telephone_number": "386-760-0815",
"fax_number": "386-767-7890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRC ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-02",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "BAKSHI",
"authorized_official_first_name": "SANJAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-274-2977",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.