EZE D. UCHE, M.D., PA
Medical Practice at Via Del Medico, Leesburg, FL

License number
Florida ME0073420
Category
Medical Practice
Type
Specialist
Owner
Name: MS. ROSE A SMITH CMM
Title: ADMINISTRATOR
Phone: (352) 360-0058
Address
Address
4646 Via Del Medico, Leesburg, FL 34748
National Provider ID: 1255527719
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EZE D. UCHE, M.D., PA at bizstanding.com

EZE D. UCHE, M.D., PA

Leesburg, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Mar 17, 1998
Inactive since:
Apr 1, 2014
Addresses:
1020 N Blvd E, Leesburg, FL 34748
4646 Via Del Medico, Leesburg, FL 34748
State ID:
P98000024930
Business type:
Florida Profit Corporation
Directors:
Uche, Eze David, M.d, 4646 Via Del Medico, Leesburg, FL 34748 (Physical),Eze David Uche (Director)
Agent:
Eze Uche,4646 Via Del Medico, Leesburg, FL 34748 (Physical)
EIN:
593506526

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