Provider Demographics
NPI:1932768231
Name:SPINE HEALTH CENTER INC
Entity Type:Organization
Organization Name:SPINE HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-660-7588
Mailing Address - Street 1:3600 FOREST HILL BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5617
Mailing Address - Country:US
Mailing Address - Phone:561-660-7588
Mailing Address - Fax:561-855-4956
Practice Address - Street 1:3600 FOREST HILL BLVD STE 1
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5617
Practice Address - Country:US
Practice Address - Phone:561-660-7588
Practice Address - Fax:561-855-4956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty