LIFE FAMILY PRACTICE CENTER, PL
Massage Therapy at Us Hwy 441, Lady Lake, FL

License number
Florida 6624
Issued Date
May 29, 1996
Effective Date
Jul 14, 2014
Expiration Date
Aug 31, 2015
Category
Health Care
Type
Massage Establishment
Address
Address
1501 Us Highway 441 STE 1702, Lady Lake, FL 32159
Phone
(352) 750-4333
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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LIFE FAMILY PRACTICE CENTER, P.L

Lady Lake, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 3, 1995
Inactive since:
Sep 26, 2014
Addresses:
1501 U.s Hwy 441 N SUITE 1702, Lady Lake, FL 32159 (Physical)
1501 N Us Hwy 441, Lady Lake, FL 32159
State ID:
L95000000522
Business type:
Florida Limited Liability Company
Managing Member:
Nelson Kraucak Managing Member, inactive, 11201 SE Sunset Hbr Rd, Summerfield, FL 34491 (Physical)
Agent:
Kraucak, Nelson,1501 U.s Hwy 441 N SUITE 1702, Lady Lake, FL 32159 (Physical)
EIN:
593322085

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