The Back Center

LBN: Brevard Orthopaedic Spine And Pain Clinic, Inc
The Back Center is an health care organization with primary practice located at 7227 N Us Highway 1 , Port St John FL 32927-5020. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Brevard Orthopaedic Spine And Pain Clinic, Inc can be contacted via phone (321) 723-7716, or through Lopez, Katrina via phone (321) 541-1537.

Contact Information

Primary practice address
7227 N Us Highway 1 Port St John FL 32927-5020
Phone: (321) 723-7716
Fax: (321) 723-0604
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Katrina
Phone: (321) 541-1537

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1245523620
LBN Legal business name Brevard Orthopaedic Spine And Pain Clinic, Inc
DBA Doing business as The Back Center
Authorized official Lopez, Katrina
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2011
Last updated Jul 15th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245523620 NPPES
Florida MEDICAID 040225700

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