LOGGERHEAD MEDICAL LLC
Medical Practice at New Haven Ave, Melbourne, FL

License number
Florida ME51048
Category
Osteopathic Medicine
Type
Pain Medicine
License number
Florida ME105112
Category
Medical Practice
Type
Pain Medicine
Owner
Name: NANCY L LAYTON M.D.
Title: OWNER
Phone: (321) 729-8223
Address
Address 2
307 E New Haven Ave, Melbourne, FL 32901
PO Box 3123, Saint Augustine, FL 32085
National Provider ID: 1023041001
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LOGGERHEAD MEDICAL LLC at bizstanding.com

LOGGERHEAD MEDICAL CORP

Melbourne, FL

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Loggerhead Medical, LLC
Inactive reason:
CORPORATE MERGER
Registration:
Jul 29, 2002
Inactive since:
Apr 20, 2006
Addresses:
4663 N Us Hwy 1, Melbourne, FL 32935 (Physical)
307 E New Hvn Ave, Melbourne, FL 32901
State ID:
P02000081610
Business type:
Florida Profit Corporation
Secretarys:
Nancy L Layton Manager, President, inactive, 4663 N Us 1, Melbourne, FL 32935 (Physical),Anne Layton Secretary, inactive, 4663 N Us Hwy 1, Melbourne, FL 32935 (Physical)
Agent:
Layton, Nancy,4663 N Hbr City Blvd, Melbourne, FL 32935 (Physical)
EIN:
16-1619180

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