Our Doctor

Lawrence Gorfine, MD

Dr. Gorfine is Board Certified in Anesthesiology  by the American Board of Anesthesiology and Board Certified in Pain Medicine Board Certified by the American Board of Pain Medicine. Dr. Gorfine is Past-Chairman of the Pain Committee of the Florida Society of Anesthesiologists, and is Past-President of the Florida Academy of Pain Medicine. He was Director of Pain Medicine, Associate Professor and Fellowship Director of Pain Management at the Medical College of Virginia. As a leader in his field, Dr. Gorfine has over 25 years of experience in anesthesiology and pain medicine. He has lectured and educated both residents and fellows at university medical centers throughout the country.


  • B.S., Dickinson College, Carlisle, PA
  • M.D., University of Bologna, Bologna, Italy


  • Medicine and Surgery, Brown University Hospitals, Providence, RI


  • Anesthesiology and Pain Medicine, Tufts New England Medical Center Hospitals, Boston, MA

Hospital Privileges:

  • JFK Medical Center, Lake Worth
  • JFK Medical Center-North Campus, West Palm Beach

Previous Roles:

  • Palm Beach County Medical Society, President
  • Florida Medical Association, Council on Legislation
  • Florida Academy of Pain Medicine, President
  • Florida Anesthesiology Political Action Committees, Chairman
  • Florida Society of Anesthesiologists, President
  • American Society of Anesthesiologists, Delegate from FSA


  • Palm Beach County Medical Society
  • Florida Medical Association
  • Florida Society of Anesthesiologists
  • Florida Society of Interventional Pain Physicians
  • American Society of Anesthesiologists
  • The Spine Intervention Society
  • Florida Academy of Pain Medicine
  • American Academy of Pain Medicine
  • American Society of Regional Anesthesia & Pain Medicine
  • North American Spine Society

Postdoctoral Training, Academic Appointments, Scholarly Experience

  • Residency, Anesthesiology and Pain Medicine, Tufts New England Medical Center Hospitals, Boston, MA
  • Internship, Medicine and Surgery, Brown University Hospitals, Providence, RI
  • Associate Professor & Director of Pain Management, Director Pain Management Fellowship, Medical College of Virginia – Virginia Commonwealth University (VCU), Richmond, VA
  • Program Director, Florida Academy of Pain Medicine 1998 Annual meeting
  • Consultant’s Conference on Neuropathic Pain Disorders 1996
  • Examination Council, American Board of Pain Medicine

Board Certification

  • American Board of Anesthesiology, 4/83
  • American Board of Anesthesiology, Additional Qualifications in Pain Management, 1994#e099v
  • American Board of Anesthesiology, Recertification Pain Medicine 2003
  • American Board of Pain Medicine, 2/94


  • President Palm Beach Spine & Pain Institute, Lake Worth, Florida
  • Past, Director, Pain Management Center, Columbia JFK Medical Center, Lake Worth, Florida
  • Past, Practicing Physician, Palm Beach Anesthesia Associates, and Palm Beach Pain Medicine, Lake Worth, Florida
  • Past, Staff Anesthesiologist & Director, Intensive Care Units, JFK Memorial Hospital, Lake Worth, FL
  • Florida Medical Association, Council on Legislation 2004-5
  • Florida Academy of Pain Medicine, President 1998-1999
  • Florida Society of Anesthesiologists, President   2003-4
  • Florida Society of Anesthesiologists, Board of Directors 1985-2005
  • Chairman, Committee of Pain Medicine 1997-2003; 2004-2005
  • CAC (Medicare) Anesthesiology State Representative 1998-2005
  • American Society of Anesthesiologists,
  • Pain Medicine Committee 1997-2003
  • Committee on Economics  2002-20
  • Palm Beach County Medical Society, Treasurer, 2005-2006
  • Chairman, Council on Legislation 2004-2005

Membership – Scientific, Honorary, and Professional Societies

  • Palm Beach Medical Society
  • Florida Medical Society
  • Massachusetts Medical Society
  • American Medical Society
  • Florida Society of Anesthesiologists
  • American Society of Anesthesiologists
  • International Society for the Study of Pain
  • International Spinal Injection Society
  • Florida Academy of Pain Medicine
  • American Academy of Pain Medicine
  • Southern Pain Society
  • Florida Cancer Pain Initiative
  • American Society of Regional Anesthesia & Pain Medicine

Lectures & Teaching

  • 6/25/2005 – Florida Society of Anesthesiologists Annual Meeting:  Sacroiliac Joint Pain
    and Treatment.  Palm Beach, Florida
  • 10/26/2004 – American Society of Anesthesiologists Annual Meeting. Workshop:
    Creation and Management of a Pain Clinic.  Las Vegas, NV
  • 10/14/2002 – American Society of Anesthesiologists Annual Meeting. Workshop: Using
    Fluoroscopy in the Pain Clinic – Lumbar Discography, Orlando, Florida
  • 10/15/2001 – American Society of Anesthesiologists Annual Meeting:
    Panel on Setting Up a Pain Medicine Practice, New Orleans, LA.
  • 4/5/2001 – Palm Beach Hand Society:  “RSD and Stellate Ganglion Blocks.”  Lake Worth, Florida.
  • 2/5/2001 – 27th Annual Vail Conference in Anesthesiology:
    “An Update and Review of Pain Management”.  “The Painful Back”. Vail, Colorado.
  • 10/17/2000 – American Society of Anesthesiologists Annual Meeting: Panel on
    Musculoskeletal Pain: “Clinical Application of Facet Blocks”, San Francisco, California
  • 6/9/2000 – “Sacroiliac Joint Pain & Dysfunction”. Florida Academy of Pain Medicine
    2000 Annual Meeting, Ft. Lauderdale, FL
  • 6/3/2000 – “Implantable Devices in Pain Management”, Clay County Medical Society Annual Meeting, Amelia Island, FL
  • 5/12/2000 – Visiting Lecturer & Professor U. of Pittsburgh School of Medicine,
    Dept. of Pain Management, Doris Cope, MD, Director
  • 2/1/2000 – 26th  Annual Vail Conference in Anesthesiology:
    The Diagnosis & Treatment Of  Facet Pain.  The Diagnosis & Treatment of Discogenic Pain.
  • 5/19/99 – Grand Rounds Richmond VA Hospital: “ Facet & Discogenic Pain and Treatment”
  • 3/12/99 – Grand Rounds-Pain Management, Medical College of Virginia: “Facet & Discogenic Pain”
  • 2/26/99 – “Overview of Facet and Discogenic Pain”, Florida Society of Anesthesiology 1998 Annual Meeting
  • 8/98 – “Discogenic Pain,” Florida Academy of Pain Medicine
  • 4/98 – Instructor, Southeast Seminars Course: Epiduroscopy
  • 2/98 – “Facet Mediated Pain,” Department of Anesthesiology, Jackson Memorial Hospital, Miami, FL
  • 8/97 – “Facet Mediated Pain,” Florida Academy of Pain Medicine
  • 4/95 – Instructor, Hands-on Course: Implantation Subarachnoid Pump and Spinal Cord Stimulator Systems, Dannemiller Memorial Educational Foundation.


  • Fyman,PN, Gorfine,LS. A Medicare Audit of a Pain Practice. Newsletter, American Society of Anesthesiologists 67:8, August 2003
  • Gorfine, LS. Exclusive Contracts Should Not Include Pain Medicine. Newsletter, American Society of Anesthesiologists. 66:10, October 2002
  • Gorfine,LS. Implantable Subarachnoid Drug Administration Systems” The Morphine Pump”.  The Pain Clinic. 2:3, June, 2000
  • Linetsky, FS, Mikulinsky, A, Gorfine, L. Regenerative Injection Therapy: History of Applications in Pain Management Part I 1930s-1950’s. The Pain Clinic.2:2 April, 2000.
  • Gilbert, HC, Gorfine,LS. Pain Management in Ambulatory Surgical Centers: HCFA Numbers Game-The Alphabet Soup Revisited. Newsletter, American Society of Anesthesiologists.63:10,October 1999
  • Gorfine, LS. Biting the Bullet: One State’s Plan to Ease the Pain. Newsletter, American Society of Anesthesiologists. 62:5, May 1998



On December 20, 2018, our beloved medical associate, colleague and friend passed away as a result of a tragic accident.  Dr. Douglas MacLear had over forty years of medical experience and served the Palm Beach County and South Florida Communities for the last eighteen years. He was double Board Certified, both in Anesthesiology and in Pain Medicine.  Dr. MacLear attended Osteopathic Medical School on a U.S. Navy Scholarship and later served in the 2nd Battalion, 9th Marine Division in Okinawa as a General Medical Officer.  He also spent many years as a full time Emergency Medical Physician in the Navy and in civilian life.

Later in his career he became fascinated with the specialty of Anesthesiology.  He initiated training at State University of New York at Buffalo, and practiced anesthesiology at State College, Pennsylvania.  He continued further advanced training and completed a Fellowship in Pain Medicine at the University of Pittsburgh Medical Center.

After his further specialty training, Dr. MacLear returned to private practice in Florida.  He was a practicing physician and partner at the Palm Beach Spine and Diagnostic Institute in Palm Beach, Florida and was on the medical staff of JFK Medical Center. Because of his warmth, caring and personal attention to all, he was loved by his patients, staff and colleagues.

Dr. MacLear was a member of the American Society of Anesthesiologists, Florida Society of Anesthesiologists, Palm Beach County Medical Society, Florida Medical Society, Spine Intervention Society, American Osteopathic Society, Florida Osteopathic Medical Society, and The Florida Academy of Pain Medicine.

Dr. MacLear will be missed but never forgotten by his colleagues, friends and patients.

To not be able to move or get out of bed for about 3 years... it took everything I love. The staff at Palm Beach Spine & Diagnostic Institute gave me a lot of hope. It took a few weeks and I started to feel better. It was miraculous. I danced... hiked ... doing kung-fu again ... it's definitely worth it. You can't put a price on feeling good. You cannot put a price on your health.

Colleen D.


I have not had pain of any extent for the last 6 month. Personal service is the thing… his technique definitely worked for me. They have been absolutely first class.

Dan L.


Want to hear what our patients think? View More Testimonials

Auto Accident Injury Interview – Dr. Gorfine on WNN Radio

WNN (The Health & Wealth Network) interviewed our own Dr. Gorfine about auto accident injury symptoms and treatments. You can listen to the entire program, initially aired on 95.3 FM / 1470 AM by clicking the video below. For more programs, visit...

Five Symptoms to be Aware of After a Car Accident

Headache – A Headache after a motor vehicle accident, or any accident, can be a temporary symptom, but can also be a symptom of a serious problem. You need to have headache symptoms evaluated by a medical doctor , even if you do not think it is serious or severe.  It...

Postponing Medical Doctor Visit After an Auto Accident? Every Minute Counts

Injury after a car accident causes inflammation and swelling of the injured parts of the body. Inflammation protects against infection and starts the healing response. If inflammation continues for more than a few days, it will cause further damage to the already...
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