License Verification

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MOUNT DORA PAIN MANAGEMENT CLINIC, INC

License Number: PMC1903

Data As Of 6/23/2025

Profession
Pain Management Clinic
License
PMC1903
License Status
Clear/
License Expiration Date
License Original Issue Date
04/11/2025
Address of Record
6909 OLD HIGHWAY 441
222
MOUNT DORA, FL 32757
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
FULLERTON, PATRICK JAMES Designated Physician Osteopathic Physician 8087 04/11/2025
FULLERTON, PATRICK JAMES PMC Physician Osteopathic Physician 8087 04/11/2025
FULLERTON, PATRICK JAMES Pain Management Clinic Owner Osteopathic Physician 8087 04/11/2025

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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 6/23/2025



* 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.