KENADAY MEDICAL CLINIC INC
Ambulatory Health at Dale Mabry Hwy, Tampa, FL

License number
Florida HCC5903
Category
Ambulatory Health
Type
Primary Care
License number
Florida HCC5646
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. KENNETH O SHOBOLA
Title: CEO/PRESIDENT
Phone: (813) 304-2330
Address
Address
8001 N. Dale Mabry Hwy BLDG 701-801, Tampa, FL 33614
National Provider ID: 1508917485
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KENADAY MEDICAL CLINIC INC at bizstanding.com

KENADAY MEDICAL CLINIC, INC

Tampa, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
REINSTATEMENT
Registration:
Apr 8, 2002
Inactive since:
Sep 28, 2010
Phone:
(813) 348-2362 (Phone)
Addresses:
8001 N Dl Mabry Hwy SUITE 701, Tampa, FL 33614 (Physical)
PO Box 15779, Tampa, FL 33684
State ID:
P02000037763
Business type:
Florida Profit Corporation
Secretarys:
Kenneth Shobola (President), 3704 Berger Rd, Lutz, FL 33548 (Physical),Jacqueline Shobola, 3704 Berger Rd, Lutz, FL 33548 (Physical),Michael B. Shobola (Secretary)
EIN:
03-0428846

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