ILYAS A GUTALE
Physician Assistant in Wildwood, FL

License number
Florida 9105989
Issued Date
May 17, 2011
Effective Date
May 17, 2011
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
3849 Pepper Tree Ln Apt #8211, Wildwood, FL 34785
600 E Dixie Ave, Leesburg, FL 34748
Phone
(301) 233-0502
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about ILYAS A GUTALE at bizstanding.com

ILYAS GUTALE, PA, LLC

Wildwood, FL  -  Ocala, FL

Registration:
Dec 23, 2011
Addresses:
3849 Peppertree Ln 8211, Wildwood, FL 34785 (Physical)
3240 SW 34 St, Ocala, FL 34474
3849 Pepper Tree Ln, Wildwood, FL 34785
State ID:
L11000143637
Business type:
Florida Limited Liability Company
Managing Member:
Ilyas Gutale (Managing Member), 3849 Peppertree Ln, Wildwood, FL 34785 (Physical)
Agent:
Gutale, Ilyas,3849 Peppertree Ln, Wildwood, FL 34785 (Physical)
EIN:
454081874

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