PEDIATRIC CENTER OF SANTA ROSA
Medical Practice at Berryhill Rd, Milton, FL

License number
Florida ME0032165
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. LELIA F MONTES MD
Title: OWNER
Phone: (850) 623-0124
Address
Address
5962 Berryhill Rd, Milton, FL 32570
National Provider ID: 1659346880
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PEDIATRIC CENTER OF SANTA ROSA at bizstanding.com

PEDIATRIC CENTER OF SANTA ROSA, PA

Milton, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISS W/ NOTICE
Registration:
Aug 23, 1991
Inactive since:
Nov 20, 2007
Addresses:
5962 Berrhill Rd, Milton, FL 32570 (Physical)
5962 Berryhill Rd, Milton, FL 32570
State ID:
S76065
Business type:
Florida Profit Corporation
Presidents:
Montes, Lelia, Dr, 5962 Berryhill Rd, Milton, FL 32570 (Physical),Lelia Montes President, inactive
EIN:
59-3084860

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