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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
JORGE GARCIA (CREDENTIALING DIRECTOR)
(305) 606-0337
Entity
Organization
Contact information
Practice address
6415 LAKE WORTH RD STE 307, GREENACRES, FL 33463-2906
(561) 578-4582
Mailing address
1049 S STATE ROAD 7, WELLINGTON, FL 33414-6135
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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