GOODWILLUS MEDICAL CLINIC, LLC
Osteopathic Medicine at State Road 52, Port Richey, FL

License number
Florida ME56548
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MRS. ADETOLA ADEYANJU-ISHOLA
Title: PRESIDENT/CEO
Phone: (727) 862-3600
Address
Address
7037 State Road 52, Port Richey, FL 34667
National Provider ID: 1922318948
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Goodwillus Medical Clinic

Port Richey, FL

Industry:
Medical Doctor's Office
Doing business as:
Goodwillus Medical Clinic LLC
Registration:
Oct 29, 2007
Addresses:
7037 State Rd 52, Port Richey, FL 34667
10730 Us Hwy 19, Port Richey, FL 34668
State ID:
L07000109414
Business type:
Florida Limited Liability
Managers:
Adetola Adeyanju-Ishola (Chief Executive Officer, President),Gus Koutsioumbis (Principal),Adetola O. Adeyanju-Ishola (Manager)

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