Organization · Type 2 NPI

Brevard Orthopaedic Spine and Pain Clinic, Inc

Pain Medicine (Physical Medicine & Rehabilitation) Physician · Merritt Island, FL

NPI number 1124311501 Active

Practice location

650 S Courtenay Pkwy, Suite 100
Merritt Island, FL 32952-4977

Call (321) 723-7716 Map

Fax (321) 723-0604

Mailing address

2222 S Harbor City Blvd, Suite 610
Melbourne, FL 32901-5594

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	None listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary	2081P2900X	None listed

Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

7 other providers at this address

NPI record

NPI: 1124311501
Entity type: Organization (Type 2)
Issued: May 18, 2011
Last updated: Jul 15, 2021
Status: Active
Subpart: Yes of Brevard Orthopaedic Spine and Pain Clinic, Inc

Other names

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The Back Center · doing business as
The Back Center · doing business as

Authorized official

Katrina Lopez
Credentialing
(321) 541-1537

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124311501

Brevard Orthopaedic Spine and Pain Clinic, Inc's National Provider Identifier is 1124311501, issued on May 18, 2011. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Merritt Island, FL. The record was last updated on Jul 15, 2021.