INTERRA HEALTH INC.
Ambulatory Health at Canton Ave, Winter Park, FL

License number
Florida 1417905035
Category
Ambulatory Health
Type
Primary Care
Owner
Name: KYLE J HANSEN MD
Title: CHIEF MEDICAL OFFICER
Phone: (414) 755-4898
Address
Address 2
343 W Canton Ave, Winter Park, FL 32789
1675 N Barker Rd SUITE 200, Brookfield, WI 53045
National Provider ID: 1407307374
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INTERRA HEALTH INC. at bizstanding.com

Interra Health, Inc.

Brookfield, WI  -  Hales Corners, WI

Status:
Inactive
Industry:
Health/Allied Services
Registration:
Oct 22, 2009
Phone:
(414) 755-4898 (Phone)
Addresses:
1675 N Barker Rd STE 200, Brookfield, WI 53045
5010 W Ashland Way, Hales Corners, WI 53132
State ID:
C3260261
Business type:
Statement & Designation By Foreign Corporation
President:
Derek J. Boyce (President)
Agent:
Juliana Figueiredo,Torrance, CA 90503 (Physical)

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