CCM SPECIALISTS LLC
Medical Practice at Amber Lake Ct, Cape Coral, FL

License number
Florida ME105093
Category
Medical Practice
Type
Case Manager/Care Coordinator
Owner
Name: DR. AJAY K DHAWAN MD
Title: MEDICAL DIRECTOR
Phone: (239) 699-5830
Address
Address
1108 Amber Lake Ct, Cape Coral, FL 33909
National Provider ID: 1891183984
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CCM SPECIALISTS LLC at bizstanding.com

CCM SPECIALISTS LLC

Cape Coral, FL  -  Fort Wayne, IN

Registration:
Dec 8, 2014
Addresses:
1108 Amber Lk Dr, Cape Coral, FL 33909 (Physical)
2131 Longleaf Dr, Fort Wayne, IN 46814 (Mailing)
1108 Amber Lk Ct, Cape Coral, FL 33909
State ID:
L14000186997
Business type:
Florida Limited Liability Company
CEO, Chairman:
Ajay Dhawan (CEO, Chairman), 2131 Longleaf Dr, Fort Wayne, IN 46814 (Physical)
Agent:
Dhawan, Ajay,1108 Amber Lk Ct, Cape Coral, FL 33909 (Physical)
EIN:
47-2502506

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