Organization
CENTRAL CITY ORTHOPEDIC AND SPINE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAL J PELLEGRINO DC (OWNER/MGNT MEMBER)
(954) 658-0064
Entity
Organization
Contact information
Practice address
515 W BUCKEYE RD STE 304, PHOENIX, AZ 85003-2693
(480) 257-1971
Mailing address
21722 FALL RIVER DR, BOCA RATON, FL 33428-4818
(480) 257-1971
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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