Organization
SPINE AND REHABILITATION PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICIO JAVIER ACEBEY M.D. (MANAGING OWNER)
(404) 668-7920
Entity
Organization
Contact information
Practice address
5500 KNOLL NORTH DR, SUITE 235, COLUMBIA, MD 21045-2370
(443) 542-0932
(443) 542-0983
Mailing address
PO BOX 62812, BALTIMORE, MD 21264-2812
(866) 588-3588
(770) 836-8636
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
D63675
MD
208VP0000X
Pain Medicine Physician
D63675
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D63675
MD
Other
Enumeration date
10/01/2012
Last updated
12/26/2013
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