M CARE MEDICAL CENTER INC.
Osteopathic Medicine at 21 St, Fort Pierce, FL

License number
Florida P13000065004
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MANETTE EMILCARE RN
Title: PRESIDENT
Phone: (772) 252-4872
Address
Address
850 S 21St St SUITE B, Fort Pierce, FL 34950
National Provider ID: 1396166252
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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M CARE MEDICAL CENTER INC

850 S 21 St SUITE B, Fort Pierce, FL 34950

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Aug 5, 2013
Inactive since:
Feb 25, 2015
State ID:
P13000065004
Business type:
Florida Profit Corporation
S:
Manette Emilcare, 850 S 21, Fort Pierce, FL 34950 (Physical),Md Jean Baptiste, 12674 Little Palm Ln, Boca Raton, FL 33428 (Physical),Md Alliance, 424 Gazetta Way, West Palm Beach, FL 33413 (Physical)
Agent:
Emilcare, Manette,850 S 21 St SUITE B, Fort Pierce, FL 34950 (Physical)
FEI/EIN:
46-3187447

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