PETER C DEBELIUS-ENEMARK
Medical Practice at Physicians Dr, Tallahassee, FL

License number
Florida 61863
Issued Date
Apr 13, 1992
Effective Date
Jan 1, 1901
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address
1616 Physicians Dr, Tallahassee, FL 32308
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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PETER C. DEBELIUS-ENEMARK, M.D., PA

1630 N Plz Dr, Tallahassee, FL 32308

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 20, 1993
Inactive since:
Aug 25, 1995
State ID:
P93000058587
Business type:
Florida Profit Corporation
Directors:
Peter Cmd Debelius-Enemark, 1630 N Plz Dr, Tallahassee, FL 32308 (Physical),Peter C. Debelius-Enemark Director, inactive
Agent:
Peter Debelius-Enemark,1630 N Plz Dr, Tallahassee, FL 32308 (Physical)
EIN:
59-3201007

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