Organization
SPINE PAIN CLINIC OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS ORTEGA M. D. (PRESIDENT)
(561) 229-3744
Entity
Organization
Contact information
Practice address
1040 37TH PL STE 102, VERO BEACH, FL 32960-4808
(561) 229-3744
Mailing address
140 JUPITER LAKES BLVD STE A, JUPITER, FL 33458-7196
(561) 229-3744
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
12/09/2019
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