KYLE CLINIC
Marriage and Family Therapists at A1A, Ponte Vedra, FL

License number
Florida ME83612
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: STACY LAWRENCE
Title: OFFICE MANAGER
Phone: (904) 280-8657
Address
Address
1110 A1A N STE 101, Ponte Vedra, FL 32082
National Provider ID: 1811056310
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KYLE CLINIC at bizstanding.com

THE KYLE CLINIC PLLC

Ponte Vedra, FL

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Mar 28, 2005
Inactive since:
Sep 24, 2010
Addresses:
1110 A1A Hwy N #101, Ponte Vedra Beach, FL 32082 (Physical)
1110 A1A N, Ponte Vedra, FL 32082
State ID:
L05000031202
Business type:
Florida Limited Liability Company
Managing Member:
James Kyle Managing Member, inactive, 184 Laurel Ln, Ponte Vedra Beach, FL 32082 (Physical)
Agent:
Kyle, James,184 Laurel Ln, Ponte Vedra Beach, FL 32082 (Physical)
EIN:
202726804

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