MEDICARE: ARTHRITIS AND BACK PAIN CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	111N00000X	Chiropractor
3	207Q00000X	Family Medicine Physician
4	207R00000X	Internal Medicine Physician
5	213E00000X	Podiatrist
6	363AM0700X	Medical Physician Assistant
7	225100000X	Physical Therapist
8	225X00000X	Occupational Therapist
9	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
10	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1205859600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHRITIS AND BACK PAIN CENTER

Provider Business Mailing Address
First Line	:	9009 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6440
Country	:	US
Telephone Number	:	954-438-4000
Fax Number	:	954-438-6000

Provider Business Practice Location Address
First Line	:	9009 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6440
Country	:	US
Telephone Number	:	954-438-4000
Fax Number	:	954-438-6000

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. ANTHONY ORLANDO DELACRUZ
Credential	:	D.C.
Telephone Number	:	786-251-7932

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	09/11/2025

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Directions to “ARTHRITIS AND BACK PAIN CENTER ” Practice Location

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