The Back Center

LBN: Brevard Orthopaedics Spine & Pain Clinic, Inc
The Back Center is an health care organization with primary practice located at 2222 S Harbor City Blvd Suite 510, Melbourne FL 32901-5594. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is the primary health care specialty. Brevard Orthopaedics Spine & 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
2222 S Harbor City Blvd Suite 510 Melbourne FL 32901-5594
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 / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X

Profile Details

NPI number 1164716676
LBN Legal business name Brevard Orthopaedics Spine & Pain Clinic, Inc
DBA Doing business as The Back Center
Authorized official Lopez, Katrina
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 1st, 2011
Last updated Jul 15th, 2021 - about 3 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 1164716676 NPPES
Florida MEDICAID 040225700
Florida Other 99949

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