DR. ALFONSO OLIVOS, P.A.
Marriage and Family Therapists at 101 Ave, Naples, FL

License number
Florida ME22900
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: ALFONSO OLIVOS MD
Title: OWNER
Phone: (239) 592-5554
Address
Address
873 101St Ave N., Naples, FL 34108
National Provider ID: 1750651220
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. ALFONSO OLIVOS, PA

873 101 Ave N, Naples, FL 34108

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 1, 1987
Inactive since:
Sep 15, 2006
State ID:
J75786
Business type:
Florida Profit Corporation
Director:
Alfonso Olivos Director, inactive, 873 - 101 Ave N, Naples, FL 34108 (Physical)
Agent:
Olivos, Alfonso,873 101 Ave N, Naples, FL 34108 (Physical)
EIN:
59-2816031

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