A FUNCTIONAL APPROACH, PA
Nursing at Douglas Ave, Altamonte Springs, FL

License number
Florida ARNP 9221364
Category
Nursing
Type
Adult Health
Owner
Name: KELLEY TEIXEIRA NP-C
Title: CEO
Phone: (407) 331-5050
Address
Address
817 Douglas Ave STE 179, Altamonte Springs, FL 32714
National Provider ID: 1013348341
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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A FUNCTIONAL APPROACH, PA

817 Douglas Ave, Altamonte Springs, FL 32714

Industry:
Nonclassifiable Establishments
Registration:
Dec 10, 2013
State ID:
P13000098297
Business type:
Florida Profit Corporation
Secretary, Treasurer, Vice President, Director, President:
Kelley Teixeira (Secretary, Treasurer, Vice President, Director, President), 817 Douglas Ave, Altamonte Springs, FL 32714 (Physical)
Agent:
Teixeira, Kelley,817 Douglas Ave, Altamonte Springs, FL 32714 (Physical)
EIN:
46-4284868

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