66101 SUNSET STRIP,LLC
Ambulatory Health at 5 St, Boca Raton, FL

License number
Florida 22512
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. THOMAS MEDNOLIA MD
Title: VP
Phone: (336) 575-2833
Address
Address
40 EAST 5Th St SUITE 406, Boca Raton, FL 33432
National Provider ID: 1235433749
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 66101 SUNSET STRIP,LLC at bizstanding.com

66101 SUNSET STRIP, LLC

Boca Raton, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Oct 18, 2010
Inactive since:
Aug 21, 2012
Addresses:
40 SE 5 St 406, Boca Raton, FL 33432 (Physical)
40 SE 5 St, Boca Raton, FL 33432
State ID:
L10000108498
Business type:
Florida Limited Liability Company
President, Vice Presidents:
Carolyn Via President, inactive, 40 SE 5 St SUITE 406, Boca Raton, FL 33432 (Physical),Thomas F. Mendolia President, Vice President, inactive
Agent:
Via, Carolyn,40 SE 5 St, Boca Raton, FL 33432 (Physical)
EIN:
NONE

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