Organization
PAIN MEDICINE SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CERTO M.D. (CEO/MEDICAL DIRECTOR)
(407) 628-5838
Entity
Organization
Contact information
Practice address
111 N LAKEMONT AVE, SUITE 2E, WINTER PARK, FL 32792-3217
(407) 628-5838
Mailing address
111 N LAKEMONT AVE, SUITE 2E, WINTER PARK, FL 32792-3217
(407) 628-5838
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME0032630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00231386
RR MEDICARE NUMBER
—
Enumeration date
08/22/2006
Last updated
08/22/2020
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