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WEST POMPANO SPINE CENTER LLC NPI 1225817117


NPI Information

NPI: 1225817117
Provider Name: WEST POMPANO SPINE CENTER LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D2162909

Address:
2400 W SAMPLE RD STE 4
POMPANO BEACH, FL
ZIP 33073
Phone: (954) 580-1036
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WEST POMPANO SPINE CENTER LLC is an interventional pain medicine pain medicine in Pompano Beach, FL. The provider is 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. WEST POMPANO SPINE CENTER LLC NPI is 1225817117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 W SAMPLE RD STE 4
POMPANO BEACH, FL
ZIP 33073-035
Phone: (954) 580-1036

The provider's authorized official is Regiane Goelz .
The authorized official title is Owner and has the following contact phone number (954) 670-3221.

The CLIA number assigned to this NPI record is 10D2162909 - other - pain management with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2023 and was last updated on 1/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207RN0300XInternal MedicineNephrologyNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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