MULBERRY MEDICAL GROUP PA
Ambulatory Health in Lady Lake, FL

License number
Florida ME80865
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. GUILLERMO B AVECILLA MD
Title: PRESIDENT
Phone: (352) 259-7900
Address
Address 2
8489 Mulberry Ln, Lady Lake, FL 32162
PO Box 587, Oxford, FL 34484

Organization information

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MULBERRY MEDICAL GROUP, PA

Lady Lake, FL  -  Oxford, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Voluntary Dissolution
Registration:
Nov 1, 2002
Inactive since:
Aug 17, 2011
Phone:
(352) 259-7900 (Phone)
Addresses:
8489 SE 165 Mulberry Ln, The Villages, FL 32162 (Physical)
Oxford, FL 34484 (Mailing)
8489 SE 165 Ln, Lady Lake, FL 32162
PO Box 587, Oxford, FL 34484
State ID:
P02000117421
Business type:
Florida Profit Corporation
Principal, Internal Medicine, Presidents:
Joe Avecilla (Finance Manager),Josephine M Avecilla President, inactive, 8489 SE 165 Mulberry Ln, The Villages, FL 32162 (Physical),Guillermo B. Avecilla Principal, Internal Medicine, President, inactive
Agent:
Josephine Avecilla,8489 SE 165 Mulberry Ln, The Villages, FL 32162 (Physical)
EIN:
45-0490879