Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brevard Orthopaedic Spine and Pain Clinic, Inc

Organization Orthopaedic Surgery Physician · NPI 1124311501

Brevard Orthopaedic Spine and Pain Clinic, Inc is an Orthopaedic Surgery Physician in Merritt Island, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

650 S Courtenay Pkwy Ste 100
Merritt Island, FL 32952-4977
Phone: (321) 723-7716
Fax: (321) 723-0604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1124311501
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBrevard Orthopaedic Spine and Pain Clinic, Inc
Authorized official Katrina Lopez — Credentialing · (321) 541-1537
Other names The Back Center; The Back Center
NPI enumeratedMay 18, 2011
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594

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