# ALFA SPINE AND PAIN

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

## Provider details

- **NPI number:** 1881187102
- **Authorized official:** DR. SANDEEP PILLARISETTY MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (321) 276-6293

## Contact information

- **Practice address:** 3724 WINTER GARDEN VINELAND RD BLDG 2, WINTER GARDEN, FL 34787-5483
- **Practice address phone:** (321) 276-6293
- **Mailing address:** 3724 WINTER GARDEN VINELAND RD BLDG 2, WINTER GARDEN, FL 34787-5483

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2018
- **Last updated:** 06/11/2018
