PARADISE COAST PAVILION, LLC
Radiology at Gladiolus Dr, Fort Myers, FL

License number
Florida ME23742
Category
Medical Practice
Type
Plastic Surgery
License number
Florida ME102815
Category
Radiology
Type
Vascular Surgery
Owner
Name: DR. KEITH L DAVIS M.D.
Title: PARTNER
Phone: (706) 854-3333
Address
Address 2
9400 Gladiolus Dr SUITE 105, Fort Myers, FL 33908
447 N Belair Rd STE 103, Evans, GA 30809
National Provider ID: 1598916611
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PARADISE COAST PAVILION, LLC at bizstanding.com

PARADISE COAST PAVILION, LLC

4350 Towne Ctr Dr, Evans, GA 30809

Registration:
Aug 22, 2008
State ID:
08065978
Business type:
Domestic Limited Liability Company
Agent:
Steven M Roth,4350 Towne Ctr Dr, Evans, GA 30809 (Physical)

Paradise Coast Pavilion, LLC

9400 Gladiolus Dr, Fort Myers, FL 33908

Status:
Inactive
Industry:
Nonclassifiable Establishments
Registration:
Oct 13, 2008
State ID:
M08000004589
Business type:
Foreign Limited Liability
Managers:
Keith L. Davis Manager, inactive,Steven M. Roth Manager, inactive
Agent:
Robert V. Mandraccia

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