CERTIFIED SPINE AND PAIN CARE LLC (NPI# 1619439320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619439320 |
| Entity Type | Organization |
| Organization Name | CERTIFIED SPINE AND PAIN CARE LLC |
| Practice Address |
9325 Glades Rd Ste 104 Boca Raton FL 33434-3988 |
| Mailing Address |
11211 Prosperity Farms Rd Ste B104 Palm Beach Gardens FL 33410-3453 |
| Practice Telephone | 5615754582 |
| Mailing Telephone | 5615374526 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | EDWIN MALDONADO (OWNER) |
| Authorized Official Telephone | 5615784582 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124561733 | Certified Spine and Pain Care LLC | Pain Medicine | 1049 S State Rd, Wellington, FL 33414-6135 | 2016-11-30 |
| 1689049900 | Certified Spine and Pain Care LLC | Pain Medicine | 1049 S State Road 7, Wellington, FL 33414-6135 | 2015-12-11 |
| Street Address |
9325 GLADES RD STE 104 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33434-3988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100395 | S Annette Chance | Family Medicine | 9325 Glades Rd Ste 104, Boca Raton, FL 33434-3988 | 2006-03-30 |
| 1316303613 | Florida Orthocare Network, LLC | Orthopaedic Surgery | 9325 Glades Rd Ste 104, Boca Raton, FL 33434-3988 | 2016-01-04 |
| 1205213634 | Royal Palm Beach Rehab Corp | Physical Therapist | 9325 Glades Rd Ste 104, Boca Raton, FL 33434-3988 | 2015-05-06 |
| 1093192262 | Action Physical Therapy, LLC | Physical Therapist | 9325 Glades Rd Ste 104, Boca Raton, FL 33434-3988 | 2015-04-27 |
| 1629465430 | Physical Therapy Institute and Aquatic Rehab | Physical Therapist | 9325 Glades Rd Ste 104, Boca Raton, FL 33434-3988 | 2015-04-20 |
| 1831477884 | Royal Palm Beach Rehab, Corp | Physical Medicine & Rehabilitation | 9325 Glades Rd Ste 104, Boca Raton, FL 33434-3988 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943771 | Solutionist Counseling Services, LLC | Clinic/Center | 9250 West Glades Rd Suite 209, Boca Raton, FL 33434 | 2019-10-14 |
| 1962932582 | Karelys Hernandez | Developmental Therapist | 9293 Southampton Pl, Boca Raton, FL 33434 | 2017-06-15 |
| 1568996007 | Aurelie Huyghues-despointes | Dentist | 3003 W Yamato Rd Ste C5, Boca Raton, FL 33434 | 2017-04-11 |
| 1700334240 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 20555 Boca Rio Road, Unit 1604, Boca Raton, FL 33434 | 2016-09-13 |
| 1952858342 | Melissa Kornhaus | Counselor | 7777 Glades Rd Ste 205, Boca Raton, FL 33434 | 2016-09-02 |
| 1023491800 | D. One Pharmacy Corp. | Pharmacy | 9070 Kimberly Blvd., Ste 27, Boca Raton, FL 33434 | 2015-06-30 |
| 1053707604 | Izdean Mufleh | Internal Medicine | 8903 Glades Rd Ste K1a, Boca Raton, FL 33434 | 2015-04-10 |
| 1437435310 | Tahmineh Hojjat | Pharmacist | 9851 West Glades Road, Boca Raton, FL 33434 | 2011-10-24 |
| 1962783191 | Sharon Sokolow | Nutritionist | 9033 Glades Rd., Boca Raton, FL 33434 | 2011-09-01 |
| 1093014714 | Sandra Jean Donovan Monteagudo | Hearing Instrument Specialist | 8903 Glades Rd., Suite A-15, Boca Raton, FL 33434 | 2011-03-21 |
| Find all providers in zip 33434 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861735011 | Pain and Wellness Physicians of South Florida Inc | Pain Medicine | 801 Meadows Rd, Suite 110, Boca Raton, FL 33486-2346 | 2013-04-05 |
| 1992071369 | Pain Management Consultants of West Boca Pa | Pain Medicine | 9970 Central Park Blvd N, Suite 401, Boca Raton, FL 33428-2231 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
| 1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
| 1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
| 1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
| 1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
| 1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
| 1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
| 1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
| 1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
| 1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33434 |
Please comment or provide details below to improve the information on CERTIFIED SPINE AND PAIN CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.