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Contact Information

CERTIFIED SPINE AND PAIN CARE
190 CONGRESS PARK DR
SUITE 160
DELRAY BEACH, FL33445-4706
 Phone: 561-578-4582
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for CERTIFIED SPINE AND PAIN CARE

NPI # 1104369719
LBN Legal business name CERTIFIED SPINE AND PAIN CARE
Authorized official EDWIN MALDONADO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2016
Last updated 12/02/2020 - About 6 years ago
Identifiers
FL License # ME92323
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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