DR BRENT MRUZ PSYD PA
Agencies at 42 Ave, Ocala, FL

License number
Florida PY7508
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. BRENT PATRICK MRUZ PSY. D.
Title: PRESIDENT
Phone: (352) 351-4940
Address
Address
1701 NE 42Nd Ave SUITE 102, Ocala, FL 34470
National Provider ID: 1356526396
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. BRENT MRUZ, PSY.D., PA

Ocala, FL

Industry:
Medical Doctor's Office
Registration:
Oct 9, 2006
Addresses:
1701 NE 42 Ave 102, Ocala, FL 34470 (Physical)
1701 NE 42 Ave, Ocala, FL 34470
State ID:
P06000128798
Business type:
Florida Profit Corporation
Director:
Brent P Mruz (Director), 1701 NE 42 Ave SUITE 102, Loxahatchee, FL 33470 (Physical)
Agent:
Ross Grossman, Pa,2400 N University Dr SUITE 207, Hollywood, FL 33024 (Physical)
EIN:
20-5683838

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