PAIN MANAGEMENT ASSOCIATES LLC
Osteopathic Medicine at Dundee Rd, Winter Haven, FL

License number
Florida ME0054730
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: JORGE R VILLARREAL MD
Title: MANAGING MBR
Phone: (863) 299-1231
Address
Address 2
2400 Dundee Rd, Winter Haven, FL 33884
PO Box 864164, Orlando, FL 32886
National Provider ID: 1093862062
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PAIN MANAGEMENT ASSOCIATES LLC at bizstanding.com

PAIN MANAGEMENT ASSOCIATES, LLC

2400 Dundee Rd, Winter Haven, FL 33884

Registration:
Jul 20, 2006
State ID:
L06000072190
Business type:
Florida Limited Liability Company
Presidents:
Jorge R Villarreal (President), 2400 Dundee Rd, Winter Haven, FL 33884 (Physical),Michael Simon (Vice President), 2400 Dundee Rd, Winter Haven, FL 33884 (Physical),Jorge R. Villareal President, inactive
Agent:
Jorge Villarreal,2400 Dundee Rd, Winter Haven, FL 33884 (Physical)
EIN:
20-5242561

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