Organization
WEST POMPANO SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGIANE GOELZ (OWNER)
(561) 806-8306
Entity
Organization
Contact information
Practice address
2400 W SAMPLE RD STE 4, POMPANO BEACH, FL 33073-3035
(954) 636-1922
(954) 636-1925
Mailing address
2400 W SAMPLE RD STE 4, POMPANO BEACH, FL 33073-3035
(561) 806-8306
(954) 580-1119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RN0300X
Nephrology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/28/2023
Last updated
04/27/2026
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