HARMONY CLINIC PA
Medical Laboratory at Saxon Blvd, Deltona, FL

License number
Florida CH10337
Category
Chiropractic
Type
Chiropractor
License number
Florida 10D2085747
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. HERMAN LESTER CARRERO DC
Title: OWNER
Phone: (386) 774-7246
Address
Address
1948 Saxon Blvd, Deltona, FL 32725
National Provider ID: 1134512387
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HARMONY CLINIC, PA

1948 Saxon Blvd, Deltona, FL 32725

Status:
Inactive
Inactive reason:
AMENDMENT AND NAME CHANGE
Registration:
Jul 5, 2011
Inactive since:
Apr 10, 2015
State ID:
P11000060871
Business type:
Florida Profit Corporation
Herman L Carrero, 1948 Saxon Blvd, Deltona, FL 32725 (Physical)
Agent:
Mariceli Segarra,1274 Ft Smith Blvd, Deltona, FL 32725 (Physical)
FEI/EIN:
452679728

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