MID-FLORIDA SKIN CANCER CLINIC
Osteopathic Medicine at Westmonte Dr, Altamonte Springs, FL

License number
Florida ME34331
Category
Osteopathic Medicine
Type
Dermatology
License number
Florida ME34331
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
License number
Florida ME34331
Category
Osteopathic Medicine
Type
Clinical & Laboratory Dermatological Immunology
Owner
Name: DR. RANDALL B COVERMAN MD
Title: PRESIDENT
Phone: (407) 788-8900
Address
Address
220 N Westmonte Dr SUITE A, Altamonte Springs, FL 32714
National Provider ID: 1811005341
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MID-FLORIDA SKIN CANCER CLINIC at bizstanding.com

MID-FLORIDA SKIN CANCER CLINIC, RANDALL B. COVERMAN, M.D., PA

220 N Westmonte SUITE A, Altamonte Springs, FL 32714

Status:
Inactive
Industry:
Beauty Shop Medical Doctor's Office
Doing business as:
Alandrea for Skin Care Inc<br>Midflorida Skin Cancer Clinic
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Oct 7, 1981
Inactive since:
Aug 4, 2008
State ID:
F49319
Business type:
Florida Profit Corporation
Registered Nurses:
Randall B. Coverman (President), 315 Menashe Ct, Longwood, FL 32779 (Physical),Gail Coverman, 315 Menashe Ct, Longwood, FL 32779 (Physical),Patti Harris Manager, inactive,...
Agent:
Coverman, Randall B., M.d,220 N Westmonte Dr STE A:, Altamonte Springs, FL 32714 (Physical)
EIN:
592126942

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