MPFR IMAGING LLC
Medical Laboratory at Edgewater Dr, Orlando, FL

License number
Florida ME31846
Category
Medical Laboratory
Type
Physiological Laboratory
Owner
Name: SAMUEL MARTIN MD
Title: OWNER
Phone: (407) 244-8559
Address
Address
1200 Edgewater Dr, Orlando, FL 32804
National Provider ID: 1144608720
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MPFR IMAGING LLC at bizstanding.com

MPFR IMAGING, LLC

1200 Edgewater Dr, Orlando, FL 32804

Registration:
Jul 18, 2014
State ID:
L14000114307
Business type:
Florida Limited Liability Company
Managers:
Michael Perry (Manager), 1200 Edgewater Dr, Orlando, FL 32804 (Physical),Glenn Fechtenburg (Manager), 1200 Edgewater Dr, Orlando, FL 32804 (Physical)
Agent:
Lowman, Jr., William R, Esq,Shuffield, Orlando, FL 32801 (Physical)
EIN:
47-1383609

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