HOLISTIC PEDIATRICS GROUP LLC
Medical Practice at Tampa Bay Blvd, Tampa, FL

License number
Florida ME95639
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. AVILIO MUNOZ M.D.
Title: MEDICAL DIRECTOR
Phone: (813) 879-1985
Address
Address
2906 W Tampa Bay Blvd, Tampa, FL 33607
National Provider ID: 1437339231
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOLISTIC PEDIATRICS GROUP, LLC

Tampa, FL

Industry:
Medical Doctor's Office
Registration:
Aug 8, 2007
Addresses:
2906 W Tampa Bay Blvd, Tampa, FL 33607 (Physical)
15289 Amberly Dr, Tampa, FL 33647
State ID:
L07000081500
Business type:
Florida Limited Liability Company
Managing Members:
Nicole S Regush (Managing Member), 2906 W Tampa Bay Blvd, Tampa, FL 33607 (Physical),Avilio E Munoz (Managing Member), 2906 W Tampa Bay Blvd, Tampa, FL 33607 (Physical)
Agent:
Gary Walker,202 S Rome Ave SUITE 100, Tampa, FL 33606 (Physical)
EIN:
260697342

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