ID CONSULTANTS INC
Osteopathic Medicine at Congress Ave, Boynton Beach, FL

License number
Florida 00017567
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: DR. LATHA SRINATH MD
Title: PHYSICIAN
Phone: (561) 735-7531
Address
Address
2300 S Congress Ave SUITE 100, Boynton Beach, FL 33426
National Provider ID: 1134217987
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ID CONSULTANTS INC at bizstanding.com

ID CONSULTANTS INC

Boynton Beach, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
AMENDMENT
Registration:
Jun 20, 1997
Inactive since:
Mar 3, 2014
Phone:
(561) 966-9175 (Phone)
Addresses:
2300 S.congress Ave SUITE # 100, Boynton Beach, FL 33426 (Physical)
2300 S Congress Ave, Boynton Beach, FL 33426
State ID:
P97000054560
Business type:
Florida Profit Corporation
Vice Presidents:
Latha Srinath (Medical Doctor, Director), 125 Turnberry Dr, Lake Worth, FL 33462 (Physical),Ahkee Sunket (Vice President), 5603 Lk Shr Vlg Cir, Lake Worth, FL 33463 (Physical),Kitonga P Kiminyo (Infectious Diseases, Medical Doctor, Vice President), 5988 Duckweed Rd, Lake Worth, FL 33449 (Physical),...
Agent:
Sampath Srinath,2300 S Congress Ave, Boynton Beach, FL 33426 (Physical)
EIN:
650764019

ID CONSULTANTS INC

Boynton Beach, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Jun 20, 1997
Inactive since:
Mar 3, 2014
Addresses:
2300 S.congress Ave SUITE # 100, Boynton Beach, FL 33426 (Physical)
2300 S Congress Ave, Boynton Beach, FL 33426
State ID:
P97000054560
Business type:
Florida Profit Corporation
Vice Presidents:
Latha Srinath (Director), 125 Turnberry Dr, Lake Worth, FL 33462 (Physical),Ahkee Sunket (Vice President), 5603 Lk Shr Vlg Cir, Lake Worth, FL 33463 (Physical),Kitonga P Kiminyo (Vice President), 5988 Duckweed Rd, Lake Worth, FL 33449 (Physical),...
Agent:
Sampath Srinath,2300 S Congress Ave, Boynton Beach, FL 33426 (Physical)
EIN:
650764019

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