AJD MEDICAL LLC
Osteopathic Medicine at State Road 44, New Smyrna, FL

License number
Florida 82935
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: ANTONIO DECARLI M.D.
Title: CEO
Phone: (386) 427-0390
Address
Address
1722 State Road 44, New Smyrna, FL 32168
National Provider ID: 1629314927
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AJD MEDICAL LLC at bizstanding.com

AJD MEDICAL LLC

New Smyrna, FL

Inactive reason:
CONVERSION
Registration:
Dec 18, 2012
Inactive since:
Dec 18, 2012
Addresses:
1722 State Rd 44, New Smyrna Beach, FL 32168 (Physical)
New Smyrna Beach, FL 32170 (Mailing)
501 Live Oak St, New Smyrna, FL 32168
PO Box 2616, New Smyrna, FL 32170
State ID:
L12000159044
Business type:
Florida Limited Liability Company
Managing Member:
Antonio Decarli (Managing Member), 1722 State Rd 44, New Smyrna Beach, FL 32168 (Physical)
Agent:
Decarli, Antonio,1722 State Rd 44, New Smyrna Beach, FL 32168 (Physical)
EIN:
26-3347931

AJD MEDICAL LLC

612 Palmetto St, New Smyrna Beach, FL 32168

Status:
Inactive
Industry:
Health/Allied Services
Inactive reason:
CONVERSION
Registration:
Sep 8, 2008
Inactive since:
Jan 13, 2012
State ID:
L08000085062
Business type:
Florida Limited Liability Company
Managing Member:
Antonio Decarli Managing Member, inactive, 612 Palmetto St, New Smyrna Beach, FL 32168 (Physical)
EIN:
26-3347931

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