Organization
CERTIFIED SPINE AND PAIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GARCIA (CREDENTIALING DIRECTOR)
(561) 537-4526
Entity
Organization
Contact information
Practice address
1049 S STATE RD, WELLINGTON, FL 33414-6135
(561) 578-4582
(561) 432-4843
Mailing address
1049 S STATE ROAD 7, WELLINGTON, FL 33414-6135
(561) 537-4526
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME92323
FL
Other
Enumeration date
11/30/2016
Last updated
02/14/2023
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