OrganizationActive
Brevard Orthopaedic Spine and Pain Clinic, Inc
NPI 1124311501 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Merritt Island, FL
Provider details
- NPI number
- 1124311501
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Brevard Orthopaedic Spine and Pain Clinic, Inc
- Authorized official
- Katrina Lopez, Credentialing
Practice location
650 S Courtenay Pkwy
Suite 100
Merritt Island, FL 32952-4977
Phone: (321) 723-7716
Fax: (321) 723-0604
Mailing address
2222 S Harbor City Blvd
Melbourne, FL 32901-5594
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.