EYES AT CENTERVILLE PARK LLC
Medical Practice at Capital Medical Blvd, Tallahassee, FL

License number
Florida ME68965
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. RICHARD MARK PALMER MD
Title: CEO
Phone: (850) 877-7337
Address
Address
2535 Capital Medical Blvd, Tallahassee, FL 32308
National Provider ID: 1124125406
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EYES AT CENTERVILLE PARK, LLC

2535 Capital Medical Blvd, Tallahassee, FL 32308

Registration:
Sep 13, 2006
State ID:
L06000089800
Business type:
Florida Limited Liability Company
Managers:
Richard Mm.d. Palmer (Managing Member), 2535 Capital Medical Blvd, Tallahassee, FL 32308 (Physical),Vicky M. O'sullivan Manager, inactive
Agent:
Richard Palmer,2535 Capital Medical Blvd, Tallahassee, FL 32308 (Physical)
EIN:
205543143

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