PHYSICIAN ASSISTS INC
Physician Assistant at 36 St, Vero Beach, FL

License number
Florida PA9102527
Category
Nursing
Type
Physician Assistant
Owner
Name: MARK LUCERO PAC
Title: OWNER
Phone: (772) 235-0850
Address
Address
1000 36Th St, Vero Beach, FL 32960
National Provider ID: 1275698656
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PHYSICIAN ASSISTS INC at bizstanding.com

PHYSICIAN ASSISTS, INC

Lady Lake, FL  -  Marco Island, FL  -  Vero Beach, FL

Status:
Inactive
Industry:
Nonclassifiable Establishments
Registration:
Nov 29, 2004
Addresses:
423 Hwy 466, Lady Lake, FL 32159 (Physical)
760 N Collier Blvd, Marco Island, FL 34145
6412 55 Sq, Vero Beach, FL 32967
State ID:
P04000162902
Business type:
Domestic for Profit Corporation
Director, Secretarys:
Mark M Lucero President, Treasurer, Director, Vice President, inactive, 423 Hwy 466 APT #, Lady Lake, FL 32159 (Physical),Jennifer Lucero Director, Secretary, inactive, 423 Hwy 466 APT #, Lady Lake, FL 32159 (Physical)
Agent:
Mark M. Lucero

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