Brevard Orthopaedic Spine and Pain Clinic, INC
NPI #1124311501 in Merritt Island, Florida
Provider Information
- NPI Number
- 1124311501
- Entity Type
- Organization
- Organization Name
- Brevard Orthopaedic Spine and Pain Clinic, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BREVARD ORTHOPAEDIC SPINE AND PAIN CLINIC, INC
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- May 18, 2011
- Last Updated
- Jul 15, 2021
Practice Location
- Address
- 650 S COURTENAY PKWY
- Address 2
- SUITE 100
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952-4977
- Phone
- (321) 723-7716
Authorized Official
- Name
- KATRINA LOPEZ
- Title
- CREDENTIALING
- Phone
- (321) 541-1537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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