JOHN E DRIGGERS DMD PA
Dentist at Bay St, Eustis, FL

License number
Florida FL5473
Category
Dentist
Type
Dentist
Owner
Name: JOHN E DRIGGERS DMD
Title: PRESIDENT
Phone: (352) 357-4588
Address
Address
2250 S Bay St, Eustis, FL 32726
National Provider ID: 1467511683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN E. DRIGGERS, D.M.D., PA

Eustis, FL  -  Mount Dora, FL

Status:
Inactive
Industry:
Dentist's Office Dental Laboratory
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Dec 20, 1975
Inactive since:
Sep 25, 2009
Phone:
(352) 357-4588 (Phone)
Addresses:
2250 S Bay St, Eustis, FL 32726 (Physical)
2021 Castell Blvd, Mount Dora, FL 32757 (Mailing)
2021 Castelli Blvd, Mount Dora, FL 32757
State ID:
493059
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
John E Driggers President, Treasurer, Director, Secretary, inactive, 2021 Castelli Blvd, Mount Dora, FL 32757 (Physical)
Agent:
John E. Driggers,2021 Castelli Blvd, Mount Dora, FL 32757 (Physical)
EIN:
59-1638147

Dentist licenses in Florida