45TH ST PAIN MANAGEMENT LLC
Psychiatric at Corporate Way, West Palm Beach, FL

License number
Florida ME97529
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
License number
Florida ME97529
Category
Psychiatric
Type
Pain Medicine
Owner
Name: DR. GARDY D MARCELIN MD
Title: CEO
Phone: (561) 469-2635
Address
Address
5642 Corporate Way, West Palm Beach, FL 33407
National Provider ID: 1013383835
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 45TH ST PAIN MANAGEMENT LLC at bizstanding.com

45TH ST PAIN MANAGEMENT LLC

5642 Corporate Way, West Palm Beach, FL 33407

Status:
Inactive
Inactive reason:
LC AMENDMENT
Registration:
Mar 12, 2015
Inactive since:
Apr 20, 2015
State ID:
L15000045197
Business type:
Florida Limited Liability Company
S:
Md Marcelin, 5642 Corporate Way, West Palm Beach, FL 33407 (Physical),Gardy D. Marcelin,Marie R. Nicolas
Agent:
Gardy D Marcelin,5642 Corporate Way, West Palm Beach, FL 33407 (Physical)
EIN:
NONE

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