DORECE G NORRIS MD PA
Medical Practice at Swann Ave, Tampa, FL

License number
Florida ME0038623
Category
Medical Practice
Type
Specialist
Owner
Name: DR. DORECE GAYE NORRIS M.D.
Title: MEDICAL DOCTOR
Phone: (813) 876-7073
Address
Address
2605 W Swann Ave STE 600, Tampa, FL 33609
National Provider ID: 1508919309
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DORECE G. NORRIS, M.D., PA

4201 Bayshore Blvd #401, Tampa, FL 33611

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Jul 16, 2001
Inactive since:
Feb 2, 2010
State ID:
P01000070970
Business type:
Florida Profit Corporation
Director:
Dorece Gmd Norris Director, inactive, 4201 Bayshore Blvd #401, Tampa, FL 33611 (Physical)
Agent:
Norris, Dorece,4201 Bayshore Blvd #401, Tampa, FL 33611 (Physical)
EIN:
59-3742512

DORECE G. NORRIS, M.D., PA

508 S Habana Ave SUITE 240, Tampa, FL 33609

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 5, 1988
Inactive since:
Aug 23, 1996
State ID:
M88500
Business type:
Florida Profit Corporation
President, Treasurer, Director:
Dorece G. Norris President, Treasurer, Director, inactive, 2700 W Dr Martin Luther, Tampa, FL (Physical)
Agent:
Norris, Dorece, G, M.d,508 S Habana Ave SUITE 240, Tampa, FL 33609 (Physical)
EIN:
59-2912586

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