License Verification

Printer Friendly Version

ADVANCED REHABILITATION MEDICAL SERVICES

License Number: PMC879

Data As Of 5/7/2025

Profession
Pain Management Clinic
License
PMC879
License Status
ADMIN REVOKED/
License Expiration Date
License Original Issue Date
04/01/2010
Address of Record
4265 LAURA STREET
PORT CHARLOTTE, FL 33980
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
WILLIAMS, JACQUELINE Pain Management Clinic Owner Unlicensed Facility Personnel 04/01/2010
WILLIAMS, KEITH ANTHONY MD Designated Physician Medical Doctor 66000 04/01/2010
WILLIAMS, KEITH ANTHONY MD Medical Director Medical Doctor 66000 04/01/2010
WILLIAMS, KEITH ANTHONY MD Pain Management Clinic Owner Medical Doctor 66000 04/01/2010

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 5/7/2025



* 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.