# BOCA SPINE AND PAIN INSTITUTE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215429261
- **Authorized official:** DR. BRIAN JAMES BURROUGH MD (OWNER)
- **Authorized official phone:** (561) 495-9511

## Contact information

- **Practice address:** 670 GLADES RD STE 200, BOCA RATON, FL 33431-6464
- **Practice address phone:** (561) 495-9511
- **Practice address fax:** (561) 990-7426
- **Mailing address:** 670 GLADES RD STE 200, BOCA RATON, FL 33431-6464
- **Mailing address phone:** (561) 495-9511
- **Mailing address fax:** (561) 990-7426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 06/05/2018