METRO INFECTIOUS DISEASE CONSULTANTS, LLC
Suppliers at Benjamin Rd, Tampa, FL

License number
Florida PH26555
Category
Suppliers
Type
Home Infusion Therapy Pharmacy
Owner
Name: TARA KOWALSKI
Title: MANAGER
Phone: (630) 665-7290
Address
Address 2
6704 Benjamin Rd SUITE 700, Tampa, FL 33634
901 Mcclintock Dr SUITE 202, Willowbrook, IL 60527
National Provider ID: 1649510033
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about METRO INFECTIOUS DISEASE CONSULTANTS, LLC at bizstanding.com

METRO INFECTIOUS DISEASE CONSULTANTS, LLC

Phoenix, AZ  -  Willowbrook, IL  -  Oak Brook, IL

Status:
Inactive
Industry:
Medical Doctor's Office, Physicians' Office
Doing business as:
Midc
Registration:
Sep 19, 2012
Phone:
(630) 654-4201 (Phone)
Addresses:
2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)
901 Mcclintock Dr, Willowbrook, IL 60527 (Foreign)
500 E Ogden Ave, Oak Brook, IL 60521
State ID:
R-1790587-0
Business type:
Foreign Limited Liability
Expiration:
PERPETUAL
Medical Doctors:
Renuka N. Heddurshetti (Infectious Diseases),Luciano Fochesatto Filho (Infectious Diseases, Medical Doctor),Vishnu V. Chundi (Medical Doctor),...
Agent:
National Registered Agents Inc,2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)

Suppliers licenses in Florida










Other Doctors licenses in Florida