BAYSIDE HEALTHCARE BRANDON INC
Ambulatory Health at Vonderburg Dr, Brandon, FL

License number
Florida HCC6754
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MR. KEVIN DONOFRIO
Title: PRESIDENT
Phone: (813) 654-6568
Address
Address
615 Vonderburg Dr, Brandon, FL 33511
National Provider ID: 1336322833
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BAYSIDE HEALTHCARE BRANDON INC at bizstanding.com

Bayside Healthcare Brandon, Inc

Brandon, FL

Status:
Inactive
Registration:
Feb 3, 2005
Addresses:
1903 W Lumsden Rd, Brandon, FL 33511
1959 W Lumsden Rd, Brandon, FL 33511
State ID:
P05000018051
Business type:
Domestic for Profit Corporation
Manager, Managing Members:
Kevin Donofrio Director, inactive,Infinite Vitality Of Brandon, Llc Manager, Managing Member, inactive
Agent:
Rocke Mclean Shar

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