OrganizationActive
45th St Pain Management LLC
NPI 1013383835 · Physical Medicine & Rehabilitation Physician · West Palm Beach, FL
Provider details
- NPI number
- 1013383835
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Gardy Marcelin, Ceo
- License
- ME97529 (FL)
Practice location
5642 Corporate Way
West Palm Beach, FL 33407-2002
Phone: (561) 469-2635
Fax: (561) 469-2614
Mailing address
5642 Corporate Way
West Palm Beach, FL 33407-2002
Registry dates
- Enumerated
- 2015-08-16
- Last updated
- 2015-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.