LOVE THE GOLDEN RULE INC
Ambulatory Health at Dr Martin Luther King Jr St, Saint Petersburg, FL

License number
Florida ME42522
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ROBERT JENNINGS WALLACE M.D.
Title: PRESIDENT
Phone: (727) 228-1660
Address
Address
721 Dr Martin Luther King Jr St S, Saint Petersburg, FL 33705
National Provider ID: 1831580612
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LOVE THE GOLDEN RULE INC

Saint Petersburg, FL

Status:
Inactive
Industry:
Nonclassifiable Establishments
Inactive reason:
AMENDMENT
Registration:
May 3, 2013
Inactive since:
Jul 24, 2014
Addresses:
721 Dr Martin Luther King Jr St S, Saint Petersburg, FL 33705 (Physical)
1770 52 Ave N, Saint Petersburg, FL 33714 (Mailing)
State ID:
N13000004259
Business type:
Florida Not For Profit Corporation
Presidents:
Md Wallace, 1770 52 Ave N, Saint Petersburg, FL 33714 (Physical),Dewayne Beasley (Treasurer), 310 4 Ave N #605, Saint Petersburg, FL 33701 (Physical),Joel Brian Wallace, 1770 52 Ave N, Saint Petersburg, FL 33714 (Physical),...
Agent:
Wallace, Robert J, Md,1770 52 Ave N, Saint Petersburg, FL 33714 (Physical)
EIN:
AP-PLIED FOR

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