ENRIQUE LEWIS
Nursing at Battlegate Ln, Ponte Vedra, FL

License number
Florida 162786
Issued Date
Feb 11, 2008
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
632 Battlegate Ln, Ponte Vedra, FL 32081
Phone
(904) 525-7192

Organization information

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ENRIQUE LEWIS, LLC

632 Battlegate Ln, Ponte Vedra, FL 32081

Registration:
Aug 3, 2012
State ID:
L12000100401
Business type:
Florida Limited Liability Company
Manager:
Enrique Lewis (Manager), 632 Battlegate Ln, Ponte Vedra, FL 32081 (Physical)
Agent:
Goldman, David,3733 University Blvd W SUITE 212B, Jacksonville, FL 32210 (Physical)
EIN:
APPLIED FOR