# CERTIFIED SPINE AND PAIN CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619674231
- **Authorized official:** JORGE GARCIA (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (561) 578-4582

## Contact information

- **Practice address:** 3900 HOLLYWOOD BLVD STE 204, HOLLYWOOD, FL 33021-6797
- **Practice address phone:** (561) 578-4582
- **Practice address fax:** (561) 432-8443
- **Mailing address:** 1049 S STATE ROAD 7, WELLINGTON, FL 33414-6135
- **Mailing address phone:** (561) 578-4582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2023
- **Last updated:** 02/14/2023