ADAM S BRANOFF
Medical Practice at Jean Lafitte Dr, Fernandina, FL

License number
Florida 120988
Issued Date
Jul 22, 2014
Effective Date
Jul 22, 2014
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address 2
2756 Jean Lafitte Dr, Fernandina, FL 32034
820 Prudential Dr SUITE 713, Jacksonville, FL 32207
Phone
(386) 846-3571

Personal information

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Name
Address
Phone
Adam Branoff
316 NW 20Th St, Gainesville, FL 32603
Adam Branoff
316 20Th St, Gainesville, FL 32603
(352) 374-8371
Adam Branoff
316 20Th St, Gainesville, FL 32603
(352) 374-8371
Adam Branoff
920 6Th St, Gainesville, FL 32601
(352) 374-8371
Adam S Branoff, age 42
282 Beach St, Ormond Beach, FL 32174
(386) 615-9966

Organization information

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ADAM S BRANOFF MD LLC

Fernandina, FL

Registration:
Dec 12, 2014
Addresses:
1250 S 18 St, Fernandina Beach, FL 32034 (Physical)
2756 Jean Lafitte Dr, Fernandina Beach, FL 32034 (Mailing)
State ID:
L14000191861
Business type:
Florida Limited Liability Company
S:
Md Branoff, 2756 Jean Lafitte Dr, Fernandina Beach, FL 32034 (Physical),Adam Branoff
Agent:
Branoff, Adam, Md,2756 Jean Lafitte Dr, Fernandina Beach, FL 32034 (Physical)
EIN:
NONE