License Verification

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SPACE COAST SPINE AND PAIN INSTITUTE, LLC

License Number: PMC1880

Data As Of 7/19/2025

Profession
Pain Management Clinic
License
PMC1880
License Status
Clear/
License Expiration Date
License Original Issue Date
05/23/2023
Address of Record
903 JORDAN BLASS DRIVE
SUITE 104
MELBOURNE, FL 32940
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALVAREZ, JOSE ANTONIO III Designated Physician Medical Doctor 94890 05/23/2023
ALVAREZ, JOSE ANTONIO III PMC Physician Medical Doctor 94890 05/23/2023
ALVAREZ, JOSE ANTONIO III Pain Management Clinic Owner Medical Doctor 94890 05/23/2023
PATEL, MARKAND PMC Physician Medical Doctor 130341 05/23/2023
PATEL, MARKAND Pain Management Clinic Owner Medical Doctor 130341 05/23/2023
STEPHENS, WILLIAM GOES PMC Physician Medical Doctor 124197 05/23/2023
STEPHENS, WILLIAM GOES Pain Management Clinic Owner Medical Doctor 124197 05/23/2023

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 7/19/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.