OVIEDO PEDIATRICS PLC
Medical Practice at Alafaya Trl, Oviedo, FL

License number
Florida 0056487
Category
Medical Practice
Type
Adolescent Medicine
Owner
Name: DR. MARIA L MILLER MD
Title: OWNER
Phone: (407) 366-3321
Address
Address
2959 Alafaya Trl SUITE 101, Oviedo, FL 32765
National Provider ID: 1619358231
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OVIEDO PEDIATRICS, PLC

2959 Alafaya Trl SUITE 101, Oviedo, FL 32765

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
May 20, 2004
Inactive since:
Nov 7, 2005
State ID:
L04000038523
Business type:
Florida Limited Liability Company
Managing Member:
Maria Lm.d. Miller (Managing Member), 2959 Alafaya Trl SUITE 101, Oviedo, FL 32765 (Physical)
Agent:
Maria L. Miller,2959 Alafaya Trl SUITE 101, Oviedo, FL 32765 (Physical)
EIN:
56-2463045

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