Organization
PMC KNEE PAIN & RESTORATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY L MORERA (CEO)
(813) 482-3348
Entity
Organization
Contact information
Practice address
200 SW 8TH ST STE A, OCALA, FL 34471
(352) 369-0104
(352) 369-0107
Mailing address
200 SW 8TH ST STE A, OCALA, FL 34471-0952
(352) 369-0104
(352) 369-0107
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
06/18/2018
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