KEVIN NICHOLSON LLC
Osteopathic Medicine at Pleasant Hill Rd, Kissimmee, FL

License number
Florida ME101521
Category
Medical Practice
Type
Pediatrics
License number
Florida ME101521
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. TANSYLA NICHOLSON MD
Title: MEDICAL DIRECTOR
Phone: (407) 545-9191
Address
Address 2
1674 Pleasant Hill Rd, Kissimmee, FL 34746
PO Box 407, Loughman, FL 33858
National Provider ID: 1508209214
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KEVIN NICHOLSON LLC at bizstanding.com

KEVIN NICHOLSON, LLC

Kissimmee, FL  -  Loughman, FL  -  Davenport, FL

Status:
Inactive
Industry:
Nonclassifiable Establishments
Inactive reason:
Reinstatement
Registration:
Feb 12, 2009
Inactive since:
Aug 19, 2011
Addresses:
1674 Pleasant Hl Rd, Kissimmee, FL 34746 (Physical)
Loughman, FL 33858 (Mailing)
325 Wildflower Rd, Davenport, FL 33837
PO Box 407, Loughman, FL 33858
State ID:
L09000014297
Business type:
Florida Limited Liability Company
S:
Thomas Nicholson (Managing Member), 1674 Pleasant Hil Rd, Kissimmee, FL 34746 (Physical),Tansyla Md Nicholson (Managing Member), 1674 Pleasant Hl Rd, Kissimmee, FL 34746 (Physical),Doctor 2 Your Door Inc inactive
Agent:
Nicholson, Thomas,1674 Pleasant Hl Rd, Kissimmee, FL 34746 (Physical)
EIN:
26-4727217

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