Organization
CERTIFIED SPINE AND PAIN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN MALDONADO MD (OWNER)
(561) 578-4562
Entity
Organization
Contact information
Practice address
1100 S MAIN ST STE 103, BELLE GLADE, FL 33430-4910
(561) 578-4582
Mailing address
11211 PROSPERITY FARMS RD STE B104, PALM BEACH GARDENS, FL 33410-3453
(561) 537-4526
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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