DALE P GREYSLAK PA PLLC
Nursing at Jordan Blass Dr, Melbourne, FL

License number
Florida PA9104508
Category
Nursing
Type
Surgical
Owner
Name: MR. DALE PHILLIP GREYSLAK PAC
Title: MANAGING MEMBER
Phone: (407) 451-0192
Address
Address
700 Jordan Blass Dr, Melbourne, FL 32940
National Provider ID: 1174945521
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DALE P GREYSLAK PA PLLC at bizstanding.com

Dale P. Greyslak, P.A., Pllc

Melbourne, FL

Registration:
Jan 14, 2014
Addresses:
700 Jordan Blass Dr, Melbourne, FL 32940
PO Box 410185, Melbourne, FL 32941
State ID:
L14000010345
Business type:
Florida Limited Liability
Managing Member:
Dale P. Greyslak (Managing Member)
Agent:
Stanley E. Retz

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