GYN ONCOLOGY ASSOCIATES PL
Medical Practice at Mitcham Dr, Tallahassee, FL

License number
Florida ME 96687
Category
Medical Practice
Type
Gynecologic Oncology
Owner
Name: DR. JOHN W MCBROOM MD
Title: PRESIDENT
Phone: (850) 877-7392
Address
Address
2617 Mitcham Dr STE 101, Tallahassee, FL 32308
National Provider ID: 1912197641
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GYN ONCOLOGY ASSOCIATES, P.L

Tallahassee, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
May 31, 2007
Inactive since:
Sep 24, 2010
Addresses:
2617 Mitcham Dr #101, Tallahassee, FL 32308 (Physical)
2770 Capital Medical Blvd, Tallahassee, FL 32308
State ID:
L07000057392
Business type:
Florida Limited Liability Company
Managing Member:
John Wm.d. Mcbroom Managing Member, inactive, 2617 Mitcham Dr #101, Tallahassee, FL 32308 (Physical)
Agent:
John Leadbeater
EIN:
26-0289104

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