INFECTIOUS DISEASES ASSOCIATES OF NORTH CENTRAL FLORIDA LLC
Osteopathic Medicine at 26 Ave, Ocala, FL

License number
Florida ME95964
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: MARY ANBALAN
Title: MBR
Phone: (352) 867-8805
Address
Address
3306 SW 26Th Ave SUITE 104, Ocala, FL 34471
National Provider ID: 1154550747
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INFECTIOUS DISEASES ASSOCIATES OF NORTH CENTRAL FLORIDA, LLC

Ocala, FL

Status:
Inactive
Doing business as:
Infectious Diseases Associates of North Central Florida<br>Infectious Diseases Associates of North Central FL
Inactive reason:
REINSTATEMENT
Registration:
May 22, 2009
Inactive since:
Mar 4, 2011
Phone:
(352) 622-2020 (Phone)
Addresses:
3306 SW 26 Ave SUITE 104, Ocala, FL 34471 (Physical)
2810 SE 3 Ct, Ocala, FL 34471
State ID:
L09000050271
Business type:
Florida Limited Liability Company
Infectious Diseases, Managing Members:
Mary Anbalan (Mbr, Managing Member), 5031 SE 4 Ave, Ocala, FL 34480 (Physical),Ivan Soosaipillai Infectious Diseases, Managing Member, inactive, 5031 SE 4 Ave, Ocala, FL 34480 (Physical)
Agent:
Anbalan, Mary,5031 SE 4 Ave, Ocala, FL 34480 (Physical)
EIN:
270240417

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