BIGBEND PEDIATRIC CARE, LLC
Managed Care Organizations at Kings Lake Dr, Gibsonton, FL

License number
Florida ME98642
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: ROLANDO GARCIA MD
Title: OWNER
Phone: (813) 672-6092
Address
Address
13131 Kings Lake Dr SUITE 101, Gibsonton, FL 33534
National Provider ID: 1578908968
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BIGBEND PEDIATRIC CARE, LLC at bizstanding.com

BIGBEND PEDIATRIC CARE, LLC

Gibsonton, FL  -  Brandon, FL

Status:
Inactive
Inactive reason:
Lc Amendment And Name Change
Registration:
Mar 31, 2010
Inactive since:
Mar 7, 2011
Addresses:
13131 Kings Lk Dr SUITE 101, Gibsonton, FL 33534 (Physical)
4614 Ridgecliff Dr, Brandon, FL 33511
PO Box 7000, Brandon, FL 33508
State ID:
L10000035081
Business type:
Florida Limited Liability Company
Managers:
Rolando Md Garcia (Manager), 13131 Kings Lk Dr SUITE 101, Gibsonton, FL 33534 (Physical),Elizabeth Mrs Garcia (Manager), 13131 Kings Lk Dr SUITE 101, Gibsonton, FL 33534 (Physical)
Agent:
Spiegel Utrera,1840 SW 22 St, Miami, FL 33145 (Physical)
EIN:
27-2380905

Managed Care Organizations licenses in Florida