OrganizationActive
Brevard Orthopaedic Spine and Pain Clinic, Inc
NPI 1245523620 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Port St John, FL
Provider details
- NPI number
- 1245523620
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Brevard Orthopaedic Spine & Pain Clinic, Inc
- Organization subpart
- Yes
- Authorized official
- Katrina Lopez, Credentialing(321) 541-1537
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Practice location
7227 N US Highway 1
Port St John, FL 32927-5020
Phone: (321) 723-7716
Fax: (321) 723-0604
Approximate (ZIP-level) locationGet directions
Mailing address
2222 S Harbor City Blvd
Melbourne, FL 32901-5594
Other names (DBA / former)
- Doing business as
- The Back Center
- Doing business as
- The Back Center
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2021-07-15
- Certified
- 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.