# PMC KNEE PAIN & RESTORATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780192112
- **Authorized official:** ASHLEY L MORERA (CEO)
- **Authorized official phone:** (813) 482-3348

## Contact information

- **Practice address:** 200 SW 8TH ST STE A, OCALA, FL 34471
- **Practice address phone:** (352) 369-0104
- **Practice address fax:** (352) 369-0107
- **Mailing address:** 200 SW 8TH ST STE A, OCALA, FL 34471-0952
- **Mailing address phone:** (352) 369-0104
- **Mailing address fax:** (352) 369-0107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2018
- **Last updated:** 06/18/2018
