HYSONG SURGICAL ASSOCIATES PA
Radiology at Us Highway 441, Lady Lake, FL

License number
Florida ME 85213
Category
Radiology
Type
Surgery
Owner
Name: DR. REBECCA SUZANNE HYSONG MD
Title: PROVIDER
Phone: (352) 391-9200
Address
Address
1501 N Us Highway 441 SUITE 1830, Lady Lake, FL 32159
National Provider ID: 1922203769
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HYSONG SURGICAL ASSOCIATES PA at bizstanding.com

HYSONG SURGICAL ASSOCIATES, PA

Lady Lake, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR REGISTERED AGENT
Registration:
Feb 7, 2007
Inactive since:
Sep 15, 2011
Addresses:
13838 U.s Hwy 441, Lady Lake, FL 32159 (Physical)
PO Box 1569, Lady Lake, FL 32158
13838 N Us Hwy 441, Lady Lake, FL 32159
State ID:
P07000017440
Business type:
Florida Profit Corporation
Director:
Rebecca S. Hysong Director, inactive
EIN:
208404683

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