Organization Active NPI

PMC Knee Pain & Restoration LLC

  • Multi-Specialty Clinic/Center
  • Ocala, FL
National Provider Identifier
1780192112
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PMC KNEE PAIN & RESTORATION LLC
Practice address
200 SW 8TH St Ste a
Ocala, FL 34471
Phone
(352) 369-0104
Fax
(352) 369-0107
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley L Morera
Title
Ceo
Phone
(813) 482-3348

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

200 SW 8TH St Ste a
Ocala, FL 34471

Mailing address

200 SW 8TH St Ste a
Ocala, FL 34471-0952
Phone (352) 369-0104

National Provider Directory

National Provider Directory

Locations

200 SW 8th St
Ste A
Ocala, FL 34471
Phone (352) 369-0104

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1780192112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW 8TH ST STE A",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710952",
            "telephone_number": "352-369-0104",
            "fax_number": "352-369-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW 8TH ST STE A",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-369-0104",
            "fax_number": "352-369-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC KNEE PAIN & RESTORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "MORERA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-482-3348"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.