DAIRY ROAD URGENT CARE LLC
Ambulatory Health at Dairy Rd, Melbourne, FL

License number
Florida ME82880
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: DR. MIGUEL LYNN LORENTE MD
Title: PRESIDENT
Phone: (321) 956-8224
Address
Address
2107 Dairy Rd, Melbourne, FL 32904
National Provider ID: 1265765531
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dairy Road Urgent Care LLC

Melbourne, FL

Industry:
Dairy Farm
Doing business as:
Dairy Road Urgent Care
Registration:
Sep 17, 2009
Phone:
(321) 956-8224 (Phone)
Addresses:
PO Box 120043, Melbourne, FL 32912
2107 Dairy Rd, Melbourne, FL 32904
State ID:
L09000090032
Business type:
Florida Limited Liability
Manager, Internal Medicine, President, Principals:
Christiane V. Harel (Manager),Miguel L. Lorente Manager, Internal Medicine, President, Principal, inactive
Agent:
Elaine Dinho

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