Active NPI
West Pompano Spine Center LLC
- Interventional Pain Medicine Physician
- Pompano Beach, FL
National Provider Identifier
1225817117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2289590 | West Pompano Spine Center LLC | Certificate of waiver | Sep 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.