Organization
CENTER FOR BACK PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO RENNELLA M.D. (OWNER)
(561) 737-1947
Entity
Organization
Contact information
Practice address
8188 JOG RD, SUITE 102, BOYNTON BEACH, FL 33437-2952
(561) 737-1947
(561) 737-9074
Mailing address
8188 JOG RD, SUITE 102, BOYNTON BEACH, FL 33437-2952
(561) 737-1947
(561) 737-9074
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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