IPS OF JACKSONVILLE LLC
Ambulatory Health in Bradenton, FL

License number
Florida 1176
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: CARL R NOBACK MD
Title: MEMBER
Phone: (941) 360-1566
Address
Address 2
4754 E State Rd, Bradenton, FL 34208
PO Box 864483, Orlando, FL 32886
National Provider ID: 1417192022
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IPS OF JACKSONVILLE LLC at bizstanding.com

IPS OF JACKSONVILLE, LLC

Orange Park, FL  -  Bradenton, FL  -  Sarasota, FL

Industry:
Nonclassifiable Establishments
Registration:
Nov 26, 2008
Addresses:
1564 Kingsley Ave, Orange Park, FL 32073 (Physical)
4754 E State Rd, Bradenton, FL 34208 (Mailing)
201 Montgomery Ave, Sarasota, FL 34243
State ID:
L08000109670
Business type:
Florida Limited Liability Company
Managers:
Innovative Pain Solutions, Llc, 4754 E State Rd, Bradenton, FL 34208 (Physical),Carl R. Noback (Manager)
Agent:
Carl Noback,4754 E State Rd, Bradenton, FL 34208 (Physical)
EIN:
26-3775538

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