BOARDWALK URGENT CARE
Ambulatory Health at 5 Ave, Melbourne, FL

License number
Florida ME71737
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: DR. RAYMOND D ADAMCIK MD
Title: OWNER, MD
Phone: (321) 327-2980
Address
Address
102 5Th Ave, Melbourne, FL 32903
National Provider ID: 1265774756
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BOARDWALK URGENT CARE at bizstanding.com

BOARDWALK URGENT CARE, INC

Melbourne, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 5, 2013
Inactive since:
Sep 26, 2014
Addresses:
102 5 Ave, Indialantic, FL 32903 (Physical)
1595 Derby Ln, Melbourne, FL 32935 (Mailing)
State ID:
P13000020798
Business type:
Florida Profit Corporation
S:
Raymond Dmd Adamcik, 1595 Derby Ln, Melbourne, FL 32935 (Physical),Jason Nagal, 1595 Derby Ln, Melbourne, FL 32935 (Physical)
Agent:
Raymond Adamcik,1595 Derby Ln, Melbourne, FL 32935 (Physical)
FEI/EIN:
NONE

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