ADVANCED SPINE AND WELLNESS
Suppliers at 1 St, Winter Haven, FL

License number
Florida CH 9923
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: DR. CLARK JEFFREY LEMMON D.C.
Title: PRESIDENT
Phone: (863) 293-0040
Address
Address
1125 1St St S, Winter Haven, FL 33880
National Provider ID: 1851661334
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ADVANCED SPINE AND WELLNESS at bizstanding.com

ADVANCED SPINE AND WELLNESS PA

1125 1 St S, Winter Haven, FL 33880

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Mar 8, 1982
Inactive since:
Jun 18, 2013
State ID:
F69965
Business type:
Florida Profit Corporation
President, Treasurer, Secretarys:
Lemmon, Clark J, Dr, 1125 1 St S, Winter Haven, FL (Physical),Clark J. Lemmon (President, Treasurer, Secretary),Darrell Pierce President, Treasurer, Secretary, inactive
Agent:
Advanced Spine & Wellness,1125 1 St S, Winter Haven, FL 33880 (Physical)
EIN:
59-2179118

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