KISSIMMEE ENDOSCOPY CENTER ASSOCIATES, INC
Ambulatory Health at Oak Commons Blvd, Kissimmee, FL

License number
Florida 1130
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. SHAMUS M HOLT MBA
Title: ADMINISTRATOR
Phone: (407) 463-0672
Address
Address
715 Oak Commons Blvd, Kissimmee, FL 34741
National Provider ID: 1366539629
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KISSIMMEE ENDOSCOPY CENTER ASSOCIATES, INC

715 Oak Commons Blvd, Kissimmee, FL 34741

Status:
Inactive
Inactive reason:
AMENDED AND RESTATED ARTICLES
Registration:
Mar 5, 2001
Inactive since:
Apr 25, 2005
State ID:
P01000024345
Business type:
Florida Profit Corporation
President, Directors:
M. Siraj Ul M.d. Islam, 715 Oak Commons Blvd, Kissimmee, FL 34741 (Physical),Syed Khalid M.d. Lateef (Treasurer, Director, Vice President), 715 Oak Commons Blvd, Kissimmee, FL 34741 (Physical),Jaime Mm.d. Rivera (Director, Secretary), 715 Oak Commons Blvd, Kissimmee, FL 34741 (Physical),...
EIN:
59-3706173

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