PAIN MEDICINE SPECIALISTS INC
Psychiatric at Lakemont Ave, Winter Park, FL

License number
Florida ME0032630
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: ANTONIO CERTO M.D.
Title: CEO/MEDICAL DIRECTOR
Phone: (407) 628-5838
Address
Address
111 N Lakemont Ave SUITE 2E, Winter Park, FL 32792
National Provider ID: 1922114875
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAIN MEDICINE SPECIALISTS, INC

111 N Lakemont Ave SUITE 2-E, Winter Park, FL 32792

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Pain Medicine Specialists
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Nov 12, 1987
Inactive since:
Feb 24, 2004
Phone:
(407) 628-5838 (Phone)
State ID:
K01921
Business type:
Florida Profit Corporation
Secretary, Chairmans:
Antonio M.d. Certo (President, Secretary),Susan J Certo (Secretary, Chairman)
Agent:
Antonio Certo
EIN:
59-2856155
Categories:
Medical Diagnostic Clinics, Physicians & Surgeons, Sports Medicine Physicians & Surgeons
Specialties:
Chronic & Acute Pain
In practice since:
1985
Products:
Outpatient
Additional:
Orlando's First Outpatient Medical Pain Clinic

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