DOCTOR 4 U CLINIC INC
Ambulatory Health at 34 St, Bradenton, FL

License number
Florida OS11114
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida OS11114
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: DR. LIHINI DALZELL D.O.
Title: PRESIDENT
Phone: (941) 758-0205
Address
Address
5318 34Th St W, Bradenton, FL 34210
National Provider ID: 1366837478
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOCTOR 4 U CLINIC INC

Nokomis, FL  -  Bradenton, FL

Registration:
Sep 18, 2014
Addresses:
4378 Mirabella Cir, Nokomis, FL 34275 (Physical)
4378 Mirabella Cir, Bradenton, FL 34210
State ID:
P14000077346
Business type:
Florida Profit Corporation
President, Secretarys:
Dr Dalzell, 4378 Mirabella Cir, Nokomis, FL 34275 (Physical),Mark Dalzell (Vice President), 4378 Mirabella Cir, Nokomis, FL 34275 (Physical),Lihini I. Dalzell (President, Secretary)
Agent:
Piersol, Beryle,610 Bittner Blvd, Nokomis, FL 34275 (Physical)
EIN:
47-2335271

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