BLACKSHEEP MEDICAL LLC
Suppliers at Hand Ave, Ormond Beach, FL

License number
Florida OS8215
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: VP OF OPERATIONS
Phone: (858) 964-1506
Address
Address 2
1425 Hand Ave SUITE L, Ormond Beach, FL 32174
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1992134712
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BLACKSHEEP MEDICAL LLC at bizstanding.com

Blacksheep Medical LLC

1425 Hand Ave, Ormond Beach, FL 32174

Registration:
Aug 15, 2013
State ID:
L13000115209
Business type:
Florida Limited Liability
Managers:
John R. Chewning (Managing Member),Savitha B. Kasturi (Managing Member),Daniel A. Seedor (Manager)
Agent:
John R. Chewning, Do Pa

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