MD TRANSFORMATIONS LLC
Osteopathic Medicine at Cypress Point Pkwy, Palm Coast, FL

License number
Florida ME42497
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ROBERT A ROMBOLA MD
Title: OWNER
Phone: (386) 283-5668
Address
Address
50 Cypress Point Pkwy STE B1, Palm Coast, FL 32164
National Provider ID: 1003251083
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MD TRANSFORMATIONS LLC

Palm Coast, FL

Industry:
Nonclassifiable Establishments
Registration:
Feb 21, 2013
Addresses:
19 Old Kings Rd N 101/102, Palm Coast, FL 32137 (Physical)
15 Ave De Ln Mer #2105, Palm Coast, FL 32137 (Mailing)
50 Cypress Pt Pkwy, Palm Coast, FL 32164
State ID:
L13000027276
Business type:
Florida Limited Liability Company
Manager:
Robert A Rombola (Manager), 15 Ave De Ln Mer #2105, Palm Coast, FL 32137 (Physical)
Agent:
Robert Rombola,15 Ave De Ln Mer #2105, Palm Coast, FL 32137 (Physical)
EIN:
80-0895623

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