NGUYEN VU MD, PA
Massage Therapy at Volusia Ave, Orange City, FL

License number
Florida 29850
Issued Date
Oct 3, 2012
Effective Date
Apr 4, 2016
Expiration Date
Aug 31, 2015
Category
Health Care
Type
Massage Establishment
Address
Address
1656 S Volusia Ave, Orange City, FL 32763
Phone
(317) 603-6457
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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NGUYEN VU, M.D., PA

Orange City, FL

Status:
Inactive
Doing business as:
Nguyen Vu MD
Inactive reason:
AMENDMENT AND NAME CHANGE
Registration:
Aug 22, 2011
Inactive since:
Dec 5, 2011
Phone:
(386) 917-0007 (Phone)
Addresses:
1656 S Volusia Ave, Orange City, FL 32763 (Physical)
1656 S Colusia Ave, Orange City, FL 32763
State ID:
P11000074974
Business type:
Florida Profit Corporation
Vice Presidents:
Nguyen M.d. Vu (President), 1656 S Volusia Ave, Orange City, FL 32763 (Physical),Van, Ha Vy T, Dc, 1656 S Volusia Ave, Orange City, FL 32763 (Physical),Ha D. Van (Vice President)
Agent:
Van, Ha Vy,1656 S Volusia Ave, Orange City, FL 32763 (Physical)
EIN:
90-0757477

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