Certified Spine And Pain Care
Anesthesiology, Pain Medicine in Palm Beach Gardens, FL. Organization (NPI-2).
NPI number1982128666
StatusActive
Last updated in NPPESFeb 14, 2023
Details
- NPI
- 1982128666
- Entity type
- Organization (NPI-2)
- Legal business name
- Certified Spine And Pain Care
- Organization subpart
- No
- Enumeration date
- Aug 3, 2017
- Certification date
- Feb 14, 2023
- Last updated
- Feb 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | Yes |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | FL |
Other names
- Certified Spine And Pain Care, LLC (Other Name)
Practice location
3335 Burns Rd Ste 300Palm Beach Gardens, FL 33410-4311
Phone 561-537-4526 · Fax 561-432-4843
Mailing address
1049 S State Road 7Wellington, FL 33414-6135
Authorized official
Jorge Garcia
Credentialing Director
5615784582
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