BRADENTON ENDOCRINOLOGY, PA
Ambulatory Health at 59 St, Bradenton, FL

License number
Florida ME63167
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. LILLIBET MATHEW PLACHERIL M.D.
Title: OWNER
Phone: (941) 795-1915
Address
Address
1906 59Th St W B, Bradenton, FL 34209
National Provider ID: 1033460001
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRADENTON ENDOCRINOLOGY, PA

Bradenton, FL

Registration:
Apr 15, 1997
Addresses:
1906 59 St W B, Bradenton, FL 34209 (Physical)
1906 59 St W, Bradenton, FL 34209
State ID:
P97000033805
Business type:
Florida Profit Corporation
Secretarys:
Lillibet Placheril, 1906-B 59 St W, Bradenton, FL 34209 (Physical),Lillibet M Placheril (Chairman, President, Treasurer, Director, Vice President), 1906-B 59 St W, Bradenton, FL 34209 (Physical),Joseph Placheril (Secretary), 1906-B 59 St W, Bradenton, FL 34209 (Physical)
Agent:
Placheril, Joseph,1906B 59 St W, Bradenton, FL 34209 (Physical)
EIN:
650743972

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