DR MICHAEL EDWARD TOWNSEND MD PA
Osteopathic Medicine at Clyde Morris Blvd, Ormond Beach, FL

License number
Florida ME61433
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MICHAEL TOWNSEND M.D.
Title: DIRECTOR
Phone: (386) 672-3219
Address
Address
335 Clyde Morris Blvd SUITE 290, Ormond Beach, FL 32174
National Provider ID: 1952714495
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR MICHAEL EDWARD TOWNSEND MD PA

Ormond Beach, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jul 2, 2001
Inactive since:
Apr 6, 2009
Addresses:
335 Clyde Morris Blvd SUITE 290, Ormond Beach, FL 32174 (Physical)
800 Sterthaus Dr, Ormond Beach, FL 32174
State ID:
P01000066865
Business type:
Florida Profit Corporation
Director:
Michael E Townsend (Director), 335 Clyde Morris Blvd SUITE 290, Ormond Beach, FL 32174 (Physical)
Agent:
Michael Townsend,335 Clyde Morris Blvd SUITE 290, Ormond Beach, FL 32174 (Physical)
EIN:
59-3727679

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