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

Interventional Spine Center LLC

Organization General Practice Physician · NPI 1366780496

Interventional Spine Center LLC is a General Practice Physician in Pompano Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 SW 12th Ave Ste 101
Pompano Beach, FL 33069-3298
Phone: (561) 543-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence OS10474 (FL)

Record details

NPI number1366780496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rahat Faderani — Doctor · (561) 543-8888
NPI enumeratedJanuary 24, 2013
Last updated in NPPESJanuary 24, 2013
Mailing address150 Sw 12th Ave, Suite 101, Pompano Beach, FL 33069-3298

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