NICHOLAS A MARUNIAK MD PA
Medical Practice at 9 St, Leesburg, FL

License number
Florida ME0051265
Category
Medical Practice
Type
Clinical Pathology
Owner
Name: MR. NICHOLAS A MARUNIAK M.D.
Title: PRESIDENT
Phone: (352) 365-1021
Address
Address
1201 S 9Th St, Leesburg, FL 34748
National Provider ID: 1457593782
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NICHOLAS A. MARUNIAK, M.D., PA

Leesburg, FL

Industry:
Medical Doctor's Office
Registration:
Sep 5, 2001
Addresses:
1201 S 9 St, Leesburg, FL 34748 (Physical)
1314 Sumter St, Leesburg, FL 34748
State ID:
P01000087324
Business type:
Florida Profit Corporation
Director:
Nicholas A Maruniak (Director), 1201 S 9 St, Leesburg, FL 34748 (Physical)
Agent:
Nicholas Maruniak,1201 S 9 St, Leesburg, FL 34748 (Physical)
EIN:
59-3738200

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