DOMAHN, INC
Medical Practice at Tamiami Trl, Port Charlotte, FL

License number
Florida MA34283
Category
Medical Practice
Type
Specialist
Owner
Name: MR. MITHO LAROSE AMILCAR PRESIDENT
Title: ADMINSTRATOR
Phone: (941) 235-1500
Address
Address
3109 Tamiami Trl, Port Charlotte, FL 33952
National Provider ID: 1982858049
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOMAHN, INC

3109 Tamiami Trl, Port Charlotte, FL 33952

Status:
Inactive
Industry:
Ret Misc Merchandise
Inactive reason:
REINSTATEMENT
Registration:
May 17, 2001
Inactive since:
Sep 30, 2011
State ID:
P01000049649
Business type:
Florida Profit Corporation
President, Treasurer, Director:
Mitho L Amilcar (President, Treasurer, Director), 3109 Tamiami Trl, Port Charlotte, FL 33952 (Physical)
Agent:
Mitho Amilcar,3109 Tamiami Trl, Port Charlotte, FL 33952 (Physical)
EIN:
65-1104465

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