FLORIDA NEUROLOGICAL SURGERY, LLC
Medical Practice at Broward Blvd, Fort Lauderdale, FL

License number
Florida ME77355
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: DR. MELVIN DALE WHITFIELD M.D.
Title: PRESIDENT
Phone: (954) 355-4088
Address
Address
1301 E Broward Blvd SUITE 300, Fort Lauderdale, FL 33301
National Provider ID: 1104024983
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FLORIDA NEUROLOGICAL SURGERY, LLC

Fort Lauderdale, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 10, 2007
Inactive since:
Sep 25, 2009
Addresses:
1301 E Broward Blvd STE 300, Fort Lauderdale, FL 33301 (Physical)
107 Royal Palm Dr, Fort Lauderdale, FL 33301 (Mailing)
State ID:
L07000038473
Business type:
Florida Limited Liability Company
Managing Members:
Melvin D Whitfield Managing Member, inactive, 1301 E Broward Blvd STE 300, Fort Lauderdale, FL 33301 (Physical),Robert S. Biscup Managing Member, inactive
Agent:
Melvin Whitfild,1301 E Broward Blvd STE 300, Fort Lauderdale, FL 33301 (Physical)
EIN:
260301212

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