PHYLLIS J KAPELLEN
Medical Practice at Natasha Ct, Tucson, AZ

License number
Florida 99800
Issued Date
Aug 16, 2007
Effective Date
Aug 16, 2007
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address
417 E Natasha Ct, Tucson, AZ 85737
Phone
(937) 305-5402

Personal information

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Name
Address
Phone
Phyllis J Kapellen, age 62
4257 Pyracantha Dr, Tucson, AZ 85741

Organization information

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PHYLLIS J. KAPELLEN, MD, LLC

Tucson, AZ  -  Melbourne, FL

Status:
Inactive
Industry:
Diagnostic Imaging, Medical Doctor's Office
Doing business as:
Phyllis Kapellen MD
Inactive reason:
LC VOLUNTARY DISSOLUTION
Registration:
Feb 7, 2013
Inactive since:
Nov 10, 2014
Phone:
(937) 305-4028 (Phone)
Addresses:
2530 W Oasis Spg Ct, Tucson, AZ 85742 (Physical)
3647 Pascoli Pl, Melbourne, FL 32934
State ID:
L13000019842
Business type:
Florida Limited Liability Company
Manager:
Phyllis J Kapellen Manager, inactive, 3647 Pascoli Pl, Melbourne, FL 32934 (Physical)
Agent:
Brunn, Frank
EIN:
NO-NE