CAMERON SPINE LLC NPI 1396054938

NPI Information

  • NPI: 1396054938
  • Provider Name: CAMERON SPINE LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 10D2036354
  • Address: 12989 SOUTHERN BLVD
    SUITE 202
    LOXAHATCHEE, FL
    ZIP 33470
  • Phone: (877) 412-7272

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NPI Details

CAMERON SPINE LLC is an interventional pain medicine pain medicine in Loxahatchee, 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. CAMERON SPINE LLC NPI is 1396054938. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12989 SOUTHERN BLVD
SUITE 202
LOXAHATCHEE, FL
ZIP 33470
Phone: (877) 412-7272
Fax: (561) 967-0954

The provider's authorized official is Blaine Simone Cameron .
The authorized official title is Owner/principal and has the following contact phone number (954) 530-2643.

The CLIA number assigned to this NPI record is 10D2036354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2010 and was last updated on 8/16/2018.

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
1208VP0014XPain MedicineInterventional Pain MedicineME86864FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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