BJA INCORPORATED
Ambulatory Health at Douglas Ave, Altamonte Springs, FL

License number
Florida HCC4910
Category
Ambulatory Health
Type
Sleep Disorder Diagnostic
Owner
Name: JOSEPH ROSE
Title: VP OF FINANCE & ADMINISTRATION
Phone: (978) 536-7400
Address
Address 2
851 Douglas Ave SUITE 101, Altamonte Springs, FL 32714
200 Corporate Pl SUITE 5B, Peabody, MA 01960
National Provider ID: 1831196823
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BJA, INCORPORATED

200 Corporate Pl SUITE 5B, Peabody, MA 01960

Registration:
Jun 23, 1999
State ID:
P99000057061
Business type:
Florida Profit Corporation
Entity State:
FL
Chairman, Secretarys:
Sean Heyniger (President, Secretary), 200 Corporate Pl, Peabody, MA 01960 (Physical),Jack Fiedor (Treasurer), 200 Corporate Pl, Peabody, MA 01960 (Physical),David Hruda (Chairman, Secretary), 200 Corporate Pl, Peabody, MA 01960 (Physical),...
Agent:
Corporation Service Company,1201 Hays St, Tallahassee, FL 32301 (Physical)
EIN:
593583146

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