CERTIFIED SPINE AND PAIN CARE, LLC


Address: 3400 Burns Rd Ste 101, Palm Beach Gardens, FL 33410-4352
Phone: 5615784582

CERTIFIED SPINE AND PAIN CARE, LLC (NPI# 1982128666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982128666
Entity Type Organization
Organization Name CERTIFIED SPINE AND PAIN CARE, LLC
Practice Address 3400 Burns Rd Ste 101
Palm Beach Gardens
FL 33410-4352
Mailing Address 11211 Prosperity Farms Rd
B-104
Palm Beach Gardens
FL 33410
Practice Telephone 5615784582
Practice Fax Number 5614324843
Enumeration Date 2017-08-03
Last Update Date 2020-10-14
Authorized Official Name EDWIN W MALDONADO BURDETTE (OWNER)
Authorized Official Telephone 5615784582
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 0186467000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3400 Burns Rd Ste 101, Palm Beach Gardens, FL 334104352 5615784582 5614324843

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447863204 Certified Spine and Pain Care, LLC Pain Medicine 1100 S Main St Ste 103, Belle Glade, FL 33430-4910 2020-08-31
1619511441 Certified Spine and Pain Care, LLC Pain Medicine 100470 Overseas Hwy, Key Largo, FL 33037-2548 2019-11-05

Office Location

Street Address 3400 BURNS RD STE 101
City PALM BEACH GARDENS
State FL
Zip Code 33410-4352

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811501026 Vicky Pauline Salazar Registered Nurse 11501 N Military Trail, Palm Beach Gardens, FL 33410 2020-09-04
1417596388 Chavon E Mayer Doula 149 Winter Park Lane, West Palm Beach, FL 33410 2019-12-24
1639711617 Diamond Physical Therapy, LLC Physical Therapist 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 2019-10-11
1689151714 Caroline Devries Hesterman Occupational Therapist 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 2018-07-21
1366937088 Krystal Maya Khemkaran Behavior Technician 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 2018-06-25
1548762552 Arsenia Pomperada Sabusap Nurse Practitioner Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 2018-03-06
1538668199 Alan Seidenfeld Dentist 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 2018-02-08
1407361454 Nuvista Living At Jupiter, LLC Skilled Nursing Facility 338 Pioneer Road, Jupiter, FL 33410 2017-12-12
1083125728 Tom Long Biddle-xing Nurse Practitioner 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 2017-10-20
1801315189 Kasie Sidman Physical Therapist 3929 Bluebell St, Palm Beach Gardens, FL 33410 2017-09-18
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750805529 Interventional Rehabilitation of South Florida, Inc Pain Medicine 4510 Donald Ross Rd, Palm Beach Gardens, FL 33418-6783 2017-08-02
1386183549 Palm Beach Pain LLC Pain Medicine 5610 Pga Blvd Ste 210, Palm Beach Gardens, FL 33418-3838 2017-02-20
1952776270 Dr. Edwin W. Maldonado, M.d., P.l. Pain Medicine 3345 Burns Rd, Suite 202, Palm Beach Gardens, FL 33410-4324 2015-12-11

Providers in the same taxonomy and state

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
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Competitor

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City PALM BEACH GARDENS
Zip Code 33410

Improve Information

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Dataset Information

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.

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