CFCF, INC
Marriage and Family Therapists at Salk Ave, Tavares, FL

License number
Florida OS 5726
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. LLARA E WEAVER RN
Title: ADMINISTRATOR
Phone: (352) 742-0025
Address
Address
1936 Salk Ave, Tavares, FL 32778
National Provider ID: 1740206127
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CFCF, INC

Tavares, FL

Status:
Inactive
Industry:
Nonclassifiable Establishments
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jan 31, 2002
Inactive since:
Mar 17, 2003
Addresses:
1936 Salk Ave, Tavares, FL 32778 (Physical)
Tavares, FL 32778 (Mailing)
PO Box 1025, Tavares, FL 32778
State ID:
P02000013156
Business type:
Florida Profit Corporation
President, Director:
William H Weaver (President, Director), 1936 Salk Ave, Tavares, FL 32778 (Physical)
Agent:
William Weaver,24 Cypress Dr, Eustis, FL 32726 (Physical)
EIN:
010640237

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