Provider Demographics
NPI:1942743554
Name:CERTIFIED SPINE AND PAIN CARE
Entity Type:Organization
Organization Name:CERTIFIED SPINE AND PAIN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-537-4526
Mailing Address - Street 1:1049 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6135
Mailing Address - Country:US
Mailing Address - Phone:561-578-4582
Mailing Address - Fax:
Practice Address - Street 1:1600 S FEDERAL HWY STE 611
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-7518
Practice Address - Country:US
Practice Address - Phone:561-578-4582
Practice Address - Fax:561-432-4843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2023-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty