Organization · NPI-2

Certified Spine And Pain Care, LLC

Anesthesiology, Pain Medicine · Hollywood, FL

NPI number1619674231
StatusActive
Last updated in NPPESFeb 14, 2023

Details

NPI
1619674231
Entity type
Organization (NPI-2)
Legal business name
Certified Spine And Pain Care, LLC
Organization subpart
No
Enumeration date
Feb 14, 2023
Certification date
Feb 14, 2023
Last updated
Feb 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LP2900X Anesthesiology, Pain Medicine––Yes

Practice location

3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797

Phone 561-578-4582 · Fax 561-432-8443

Mailing address

1049 S State Road 7
Wellington, FL 33414-6135

Phone 561-578-4582

Authorized official

Jorge Garcia
Credentialing Director
5615784582

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