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Organization
CENTER FOR BACK PAIN MANAGEMENT INC
Active
Organization
CENTER FOR BACK PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO RENNELLA M.D. (OWNER)
(561) 737-1947
Entity
Organization
Contact information
Practice address
8188 JOG RD, SUITE 102, BOYNTON BEACH, FL 33437-2952
(561) 737-1947
(561) 737-9074
Mailing address
8188 JOG RD, SUITE 102, BOYNTON BEACH, FL 33437-2952
(561) 737-1947
(561) 737-9074
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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