MARK S LUEDKE OD PA
Ambulatory Health at Balm Riverview Rd, Riverview, FL

License number
Florida OPC2762
Category
Ambulatory Health
Type
Corporate Health
Owner
Name: MR. MARK S LUEDKE OD
Title: PRESIDENT
Phone: (863) 604-2020
Address
Address
9433 Balm Riverview Rd STE 102, Riverview, FL 33569
National Provider ID: 1134370562
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mark S. Luedke, LLC

Seffner, FL  -  Riverview, FL

Industry:
Optometrist's Office
Doing business as:
Mark S. Luedke, O.D., PA
Registration:
Nov 13, 2003
Phone:
(813) 671-2020 (Phone)
Addresses:
PO Box 876, Seffner, FL 33583
9433 Balm Riverview Rd, Riverview, FL 33569
State ID:
L03000044160
Business type:
Florida Limited Liability
Managing Member, President, Treasurer, Secretary, Director:
Mark S. Luedke (Managing Member, President, Treasurer, Secretary, Director)

Mark S. Luedke, O.D., PA

Riverview, FL  -  Seffner, FL

Industry:
Optometrist's Office
Registration:
Sep 11, 1995
Phone:
(813) 671-2020 (Phone)
Addresses:
9433 Balm Riverview Rd, Riverview, FL 33569
PO Box 876, Seffner, FL 33583
11325 Jim Ct, Riverview, FL 33569
State ID:
P95000070617
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary, Director, Principal:
Mark S. Luedke (President, Treasurer, Secretary, Director, Principal)

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