LA VIDA EN EL MAR ALF
Ambulatory Health at Rosewood Ct, Tampa, FL

License number
Florida AL12627
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MR. LUIS Y FUENTES JR. LUIS
Title: ADMINISTRATOR
Phone: (813) 770-0340
Address
Address
6802 Rosewood Ct, Tampa, FL 33615
National Provider ID: 1346632163
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LA VIDA EN EL MAR ALF at bizstanding.com

LA VIDA EN EL MAR ALF INC

6802 W Rosewood Ct, Tampa, FL 33615

Registration:
Sep 30, 2014
State ID:
P14000080365
Business type:
Florida Profit Corporation
President *s:
Lazaro A Aguilar (Vice President), 6802 W Rosewood Ct, Tampa, FL 33615 (Physical),Yordanka Henson President *, inactive
Agent:
Aguilar, Lazaro,6802 W Rosewood Ct, Tampa, FL 33615 (Physical)
EIN:
47-1967260

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