# CERTIFIED SPINE AND PAIN CARE LLC

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

## Provider details

- **NPI number:** 1982389417
- **Authorized official:** JORGE GARCIA (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (305) 606-0337

## Contact information

- **Practice address:** 6415 LAKE WORTH RD STE 307, GREENACRES, FL 33463-2906
- **Practice address phone:** (561) 578-4582
- **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 |

## Other

- **Enumeration date:** 06/21/2023
- **Last updated:** 06/21/2023