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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 0186467000 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3400 Burns Rd Ste 101, Palm Beach Gardens, FL 334104352 | 5615784582 | 5614324843 |
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 |
Street Address |
3400 BURNS RD STE 101 |
City | PALM BEACH GARDENS |
State | FL |
Zip Code | 33410-4352 |
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 |
Find all providers in zip 33410 |
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 |
---|---|---|---|---|
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 |
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 | PALM BEACH GARDENS |
Zip Code | 33410 |
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.