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CERTIFIED SPINE AND PAIN CARE LLC NPI 1124561733


NPI Information

NPI: 1124561733
Provider Name: CERTIFIED SPINE AND PAIN CARE LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1049 S STATE RD
WELLINGTON, FL
ZIP 33414
Phone: (561) 578-4582
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CERTIFIED SPINE AND PAIN CARE LLC is an interventional pain medicine pain medicine in Wellington, 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. CERTIFIED SPINE AND PAIN CARE LLC NPI is 1124561733. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1049 S STATE RD
WELLINGTON, FL
ZIP 33414-135
Phone: (561) 578-4582

The provider's authorized official is Edwin Maldonado .
The authorized official title is Owner and has the following contact phone number (954) 376-9281.

The enumeration date for this NPI number is 11/30/2016 and was last updated on 10/14/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineME92323FLORIDAYes

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: 11/14/2023

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