NICKEEY K MALCOLM
Physician at 20 Ter, Gainesville, FL

License number
Florida 7776
Issued Date
Jul 1, 2004
Effective Date
Jul 5, 2007
Expiration Date
Jul 1, 2008
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
4916 NW 20Th Ter, Gainesville, FL 32605
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about NICKEEY K MALCOLM at bizstanding.com

NICKEEY K. MALCOLM, MD, LLC

7127 SW 4 Rd UNIT 225, Gainesville, FL 32607

Status:
Inactive
Inactive reason:
LC VOLUNTARY DISSOLUTION
Registration:
Aug 10, 2007
Inactive since:
Jan 26, 2009
State ID:
L07000082409
Business type:
Florida Limited Liability Company
Managing Member:
Nickeey Kmd Malcolm Managing Member, inactive, 7127 SW 4 Rd UNIT 225, Gainesville, FL 32607 (Physical)
Agent:
Nickeey Malcolm,7127 SW 4 Rd, Gainesville, FL 32607 (Physical)
EIN:
39-2060348

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