Organization Active NPI

West Pompano Spine Center LLC

  • Interventional Pain Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1225817117
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
WEST POMPANO SPINE CENTER LLC
Practice address
2400 W Sample Rd Ste 4
Pompano Beach, FL 33073-3035
Phone
(954) 636-1922
Fax
(954) 636-1925
NPI assigned
Sep 28, 2023
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Regiane Goelz
Title
Adminstrator
Phone
(754) 326-4630

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

2400 W Sample Rd Ste 4
Pompano Beach, FL 33073-3035

Mailing address

2400 W Sample Rd Ste 4
Pompano Beach, FL 33073-3035
Phone (754) 326-4630

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2289590West Pompano Spine Center LLC2400 W Sample Rd, Ste 4, Pompano Beach, FL 33073Certificate of waiverSep 12, 2027

National Provider Directory

National Provider Directory

Locations

2400 W Sample Rd
Ste 4
Pompano Beach, FL 33073
Phone (954) 580-1036

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1225817117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W SAMPLE RD STE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733035",
            "telephone_number": "754-326-4630",
            "fax_number": "954-580-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W SAMPLE RD STE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733035",
            "telephone_number": "954-636-1922",
            "fax_number": "954-636-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST POMPANO SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "GOELZ",
        "authorized_official_first_name": "REGIANE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "754-326-4630"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.