DR. PATRICK J. FULLERTON, INC
Ambulatory Health at Hiawassee Rd, Orlando, FL

License number
Florida OS8087
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: PATRICK J FULLERTON D.O.
Title: OWNER
Phone: (407) 754-5077
Address
Address
2441 S Hiawassee Rd, Orlando, FL 32835
National Provider ID: 1962743450
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DR. PATRICK J. FULLERTON, INC at bizstanding.com

DR PATRICK J FULLERTON INC

Orlando, FL

Status:
Inactive
Industry:
Nonclassifiable Establishments
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
May 4, 2012
Inactive since:
Sep 26, 2014
Addresses:
2441 S Hiawassee Rd, Orlando, FL 32835 (Physical)
5542 Brookline Dr, Orlando, FL 32819 (Mailing)
State ID:
P12000042165
Business type:
Florida Profit Corporation
President:
Patrick J Fullerton President, inactive, 5542 Brookline Dr, Orlando, FL 32819 (Physical)
Agent:
Stephen Jennelle,37009 Calhoun Rd, Eustis, FL 32736 (Physical)
EIN:
45-5207812

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