EYELID SURGERY CENTER, LLC
Ambulatory Health at New Hampshire Ct, Fort Myers, FL

License number
Florida 1220
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. ROBERT DUANE MARTILLA RN, LHRM
Title: ADMINISTRATOR
Phone: (239) 481-9995
Address
Address
15620 New Hampshire Ct, Fort Myers, FL 33908
National Provider ID: 1255325080
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EYELID SURGERY CENTER, LLC at bizstanding.com

EYELID SURGERY CENTER, LLC

15620 New Hampshire Ct, Fort Myers, FL 33908

Registration:
Apr 26, 2004
State ID:
L04000031581
Business type:
Florida Limited Liability Company
Managing Member:
Dean W Larson (Managing Member), 15620 New Hampshire Ct, Fort Myers, FL 33908 (Physical)
Agent:
Dean Larson,15260 New Hampshire Ct, Fort Myers, FL 33908 (Physical)
EIN:
331096270

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