ONSITE MEDICAL GROUP LLC
Medical Practice at Colonial Dr, Orlando, FL

License number
Florida L14000123143
Category
Medical Practice
Type
Specialist
Owner
Name: FERNANDO GANT
Title: VP OF OPERATIONS AND COMPLIANCE
Phone: (407) 801-2664
Address
Address 2
3200 W Colonial Dr, Orlando, FL 32808
12269 Hickory Forest Rd, Jacksonville, FL 32226
National Provider ID: 1598164451
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ONSITE MEDICAL GROUP LLC at bizstanding.com

ONSITE MEDICAL GROUP, LLC

12269 Hickory Frst Rd, Jacksonville, FL 32226

Registration:
Aug 6, 2014
State ID:
L14000123143
Business type:
Florida Limited Liability Company
Managers:
Fernando Gant (Manager), 12269 Hickory Frst Rd, Jacksonville, FL 32226 (Physical),Junior Mcintosh, 4920 Ky Lime Dr UNIT 304, Jacksonville, FL 32256 (Physical),Alex Brown (Manager), 2871 Evercharm Pl, Jacksonville, FL 32257 (Physical),...
Agent:
Gant, Fernando,12269 Hickory Frst Rd, Jacksonville, FL 32226 (Physical)
EIN:
47-1539918

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