Organization
CERTIFIED SPINE AND PAIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GARCIA (CREDENTIALING DIRECTOR)
(561) 578-4582
Entity
Organization
Contact information
Practice address
9325 GLADES RD STE 104, BOCA RATON, FL 33434-3988
(561) 575-4582
Mailing address
1049 S STATE ROAD 7, WELLINGTON, FL 33414-6135
(561) 537-4526
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
04/02/2019
Last updated
02/14/2023
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