FELIX R MARICHAL MD PA
Osteopathic Medicine at Lake Underhill Rd, Orlando, FL

License number
Florida HCC10641
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: FELIX R MARICHAL MD
Title: DIRECTOR/PRESIDENT
Phone: (407) 802-4655
Address
Address
11602 Lake Underhill Rd, Orlando, FL 32825
National Provider ID: 1508205600
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FELIX R. MARICHAL MD, PA

Orlando, FL  -  Winter Park, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
REINSTATEMENT
Registration:
Sep 26, 2005
Inactive since:
May 23, 2011
Phone:
(407) 681-1800 (Phone)
Addresses:
11602 Lk Underhill Rd SUITE 115, Orlando, FL 32825 (Physical)
4215 Isle Vis Ave, Orlando, FL 32812 (Mailing)
7163 University Blvd, Winter Park, FL 32792
4323 Stonefield Dr, Orlando, FL 32826
State ID:
P05000131942
Business type:
Florida Profit Corporation
Principal, President, Director:
Felix R Marichal Principal, President, Director, inactive, 4215 Isle Vis Ave, Orlando, FL 32812 (Physical)
Agent:
Felix Marichal,4215 Isle Vis Ave, Orlando, FL 32812 (Physical)
EIN:
20-3563337

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