Radiologic Technologist
BREVARD ORTHOPAEDICS SPINE & PAIN CLINIC, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164716676 · enumerated 2011-06-01 · record updated 2021-07-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KATRINA LOPEZ, Credentialing · (321) 541-1537
Other names: THE BACK CENTER
Addresses and phones
- Practice location 2222 S HARBOR CITY BLVD, SUITE 510, MELBOURNE, FL, 32901-5594 (321) 723-7716 Fax (321) 723-0604 Google Maps Apple Maps OpenStreetMap
- Mailing address 2222 S HARBOR CITY BLVD, SUITE 610, MELBOURNE, FL, 32901-5594 (321) 723-7716 Fax (321) 723-0604 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X
- Physical Medicine & Rehabilitation 208100000X
- Physical Medicine & Rehabilitation, Pain Medicine 2081P2900X
- Radiologic Technologist, Magnetic Resonance Imaging 2471M1202X
- Radiologic Technologist 247100000X · Primary
In this directory
Locations and evidence
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Practice location
MELBOURNE, FL, 329015594
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.