# CERTIFIED SPINE AND PAIN CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Certified Spine And Pain Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982128666
- **Authorized official:** JORGE GARCIA (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (561) 578-4582

## Contact information

- **Practice address:** 3335 BURNS RD STE 300, PALM BEACH GARDENS, FL 33410-4311
- **Practice address phone:** (561) 537-4526
- **Practice address fax:** (561) 432-4843
- **Mailing address:** 1049 S STATE ROAD 7, WELLINGTON, FL 33414-6135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | FL | — |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 02/14/2023
