LENITA HANSON, MD
Osteopathic Medicine at Olean Blvd, Port Charlotte, FL

License number
Florida ME0067817
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Address
Address
21216 Olean Blvd SUITE 6, Port Charlotte, FL 33952
Phone
(941) 624-4800
(941) 206-0048 (Fax)
National Provider ID: 1225128572
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LENITA HANSON, M.D., PA

Port Charlotte, FL  -  Venice, FL

Doing business as:
Lenita Hanson MD
Registration:
Aug 25, 1997
Phone:
(941) 624-4800 (Phone), (941) 484-1200 (Phone)
Addresses:
21216 Olean Blvd SUITE 6, Port Charlotte, FL 33952 (Physical)
389 Commercial Ct, Venice, FL 34292
State ID:
P97000073661
Business type:
Florida Profit Corporation
S:
Lenita Hanson (Director), 21216 Olean Blvd, Port Charlotte, FL 33952 (Physical),Aston H Hanson, 21216 Olean Blvd, Port Charlotte, FL 33952 (Physical)
Agent:
Aston, Hanson,21216 Olean Blvd SUITE 6, Port Charlotte, FL 33952 (Physical)
EIN:
650778194

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