CENTER FOR SPINE MEDICINE PA
Psychiatric at 34 Ave, Ocala, FL

License number
Florida ME 61060
Category
Psychiatric
Type
Pain Medicine
Owner
Name: DR. CHARLES MICHAEL GRUDEM M.D.
Title: PRESIDENT
Phone: (352) 629-7011
Address
Address
3200 SW 34Th Ave SUITE 502, Ocala, FL 34474
National Provider ID: 1821218488
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CENTER FOR SPINE MEDICINE PA at bizstanding.com

Center for Spine Medicine

Ocala, FL

Status:
Inactive
Industry:
Medical Office
Doing business as:
Center for Spine Medicine PA<br>The Center for Spine Medicine, PA
Registration:
Mar 1, 2000
Addresses:
3101 SW 34 Ave, Ocala, FL 34474
1814 SW 28 St, Ocala, FL 34471
2100 SE 17 St, Ocala, FL 34471
3200 De Hwy 34 St, Ocala, FL 34474
State ID:
P00000023515
Business type:
Domestic for Profit Corporation
Pain Managements:
Charles Grudem President, Director, inactive,Bohdan Warycha Pain Management, inactive,Yili Zhou Pain Management, inactive
Agent:
Charles M. Grudem

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