CLINICITY
Medical Practice at Tom Still Rd, Tallahassee, FL

License number
Florida ME28955
Category
Medical Practice
Type
Gynecology
Owner
Name: MR. WYATT IRVIN HENDRICKS
Title: COO
Phone: (850) 251-5688
Address
Address
1357 Tom Still Rd, Tallahassee, FL 32305
National Provider ID: 1114356680
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Clinicity Inc

Tallahassee, FL

Registration:
Nov 1, 2013
Addresses:
1030 E Lafayette St, Tallahassee, FL 32301
1357 Tom Still Rd, Tallahassee, FL 32305
State ID:
P13000089531
Business type:
Domestic for Profit Corporation
Chairmans:
David A. Barrett (CFO, Chairman),Wyatt Irvin Hendricks (CEO, Chairman),Evan E. Dussia (Chairman)

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