EUGENE H USOW DO PA
Marriage and Family Therapists at Sebastian Blvd, Sebastian, FL

License number
Florida OS9612
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: EUGENE USOW D.O.
Title: PRESIDENT
Phone: (772) 228-9511
Address
Address
709 Sebastian Blvd SUITE F, Sebastian, FL 32958
National Provider ID: 1235289778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EUGENE H USOW DO PA

709 Sebastian Blvd SUITE F, Sebastian, FL 32958

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
May 8, 2006
Inactive since:
Sep 23, 2011
State ID:
P06000064837
Business type:
Florida Profit Corporation
Director:
Eugene Hdo Usow Director, inactive, 709-F Sebastian Blvd, Sebastian, FL 32958 (Physical)
Agent:
Eugene Usow,709 Sebastian Blvd SUITE F, Sebastian, FL 32958 (Physical)
EIN:
204845116

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