MULLALLY HOLDINGS PLC
Marriage and Family Therapists at Emerald Oaks Dr, Crystal River, FL

License number
Florida ME104121
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. BRIAN ANDREW MULLALLY SR. M.D.
Title: OWNER
Phone: (352) 794-3862
Address
Address
11515 W Emerald Oaks Dr, Crystal River, FL 34428
National Provider ID: 1518030311
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MULLALLY HOLDINGS, P.L.C

Crystal River, FL

Industry:
Holding Company
Registration:
Jul 29, 2009
Addresses:
11515 W Emerald Oak, Crystal River, FL 34428 (Physical)
11515 W Emerald Oaks Dr, Crystal River, FL 34428
State ID:
M09000002929
Business type:
Foreign Limited Liability Company
Entity State:
MI
CEO, Chairmans:
Mullally, Brian A, Dr, 11515 W Emerald Oak, Crystal River, FL 34428 (Physical),Teri Mullally (CFO, Chairman), 11515 W Emerald Oak, Crystal River, FL 34428 (Physical),Brian A. Mullally (CEO, Chairman)
Agent:
Brian Mullally,11515 W Emerald Oak, Crystal River, FL 34428 (Physical)
EIN:
20-1636914

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