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Organization
CERTIFIED SPINE AND PAIN CARE, LLC
Active
Organization
CERTIFIED SPINE AND PAIN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN MALDONADO MD (OWNER)
(561) 578-4562
Entity
Organization
Contact information
Practice address
1100 S MAIN ST STE 103, BELLE GLADE, FL 33430-4910
(561) 578-4582
Mailing address
11211 PROSPERITY FARMS RD STE B104, PALM BEACH GARDENS, FL 33410-3453
(561) 537-4526
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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