IM HEALTHCARE PA
Osteopathic Medicine at Business Way, Lehigh Acres, FL

License number
Florida OS 7648
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MR. JAMES B. MARTIN
Title: ADMINISTRATOR
Phone: (239) 303-2600
Address
Address
1220 Business Way STE 2, Lehigh Acres, FL 33936
National Provider ID: 1538116728
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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I.M. HEALTHCARE, PA

Lehigh Acres, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Sep 7, 1999
Inactive since:
Oct 5, 2006
Phone:
(239) 303-2600 (Phone)
Addresses:
1220 Business Way SUITE 2, Lehigh Acres, FL 33936 (Physical)
1530 Lee Blvd, Lehigh Acres, FL 33936
State ID:
P99000079157
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Jerilee Ed.o. Lomas (President, Treasurer, Director, Secretary), 3031 Shell Ln, Labelle, FL 33935 (Physical)
Agent:
James Martin,1220 Business Way, Lehigh Acres, FL 33936 (Physical)
EIN:
650947640

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