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Organization

PCA INTERVENTIONAL SPINE AT MACQUARIUM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODRIGO DURALDE M.D. (OWNER/MEDICAL DIRECTOR)
(404) 351-7654
Entity
Organization

Contact information

Practice address
1800 PEACHTREE ST NW, SUITE 775, ATLANTA, GA 30309-2519
(404) 351-7654
(770) 692-6082
Mailing address
PO BOX 40166, BELFAST, ME 04915-1241
(678) 971-4167
(833) 989-2501

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
12/19/2014
Last updated
02/20/2026
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