Phillip R. Forbes, D.D.S., P.A.
Dentist at Ponce De Leon Blvd, Saint Augustine, FL

License number
Florida 11603
Issued Date
Sep 4, 2012
Effective Date
Feb 10, 2016
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental Laboratory
Address
Address
405 S Ponce De Leon Blvd, Saint Augustine, FL 32084
Phone
(904) 707-6344
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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PHILLIP R. FORBES, D.D.S., PA

405 S Ponce De Leon Blvd, Saint Augustine, FL 32084

Status:
Inactive
Industry:
Dentist's Office
Doing business as:
Phillip R Forbes DDS PA
Inactive reason:
REINSTATEMENT
Registration:
Mar 9, 2000
Inactive since:
May 5, 2011
Phone:
(904) 827-1881 (Phone)
State ID:
P00000024612
Business type:
Florida Profit Corporation
Owner, President, Treasurer, Secretary, Director:
Phillip R Forbes Owner, President, Treasurer, Secretary, Director, inactive, 49 Valencia St, Saint Augustine, FL 32084 (Physical)
Agent:
Phillip Forbes,49 Valencia St, Saint Augustine, FL 32084 (Physical)
EIN:
59-3630954

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