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Organization
SPINE PAIN CLINIC OF FLORIDA LLC
Active
Organization
SPINE PAIN CLINIC OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS ORTEGA M. D. (PRESIDENT)
(561) 229-3744
Entity
Organization
Contact information
Practice address
1040 37TH PL STE 102, VERO BEACH, FL 32960-4808
(561) 229-3744
Mailing address
140 JUPITER LAKES BLVD STE A, JUPITER, FL 33458-7196
(561) 229-3744
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
12/09/2019
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