| Organization Name: | SPINEWORKS MEDICAL CENTER, LLC |
| NPI Number: | 1336444173 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DESMOND PINELLI (OWNER/CLINIC DIRECTOR) |
| Mailing Address: | 522 N Hickory Ave Bel Air |
| State: | MD US |
| Postal Code: | 210143229 |
| Phone Number: | 4106385333 |
| Fax Number: | 4106387440 |
| NPI Enumeration Date: | 01/25/2011 |
| NPI Last Update Date: | 05/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0023732 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |