PHYSICIAN PARTNERSHIP ALLIANCE LLC
Medical Practice at Hollywood Blvd, Hollywood, FL

License number
Florida ME80969
Category
Medical Practice
Type
Pediatrics
Owner
Name: F.M. ANTONIETA SCHETTINO M.D.
Title: CMO
Phone: (786) 233-8722
Address
Address 2
3829 Hollywood Blvd SUITE A, Hollywood, FL 33021
1411 WEST West Shore Blvd SUITE 311, Tampa, FL 33607
National Provider ID: 1700246204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIAN PARTNERSHIP ALLIANCE LLC

2512 W Fern St, Tampa, FL 33614

Industry:
Medical Doctor's Office
Registration:
Aug 26, 2011
State ID:
L11000098004
Business type:
Florida Limited Liability Company
Managing Member:
Carolyn Dehlinger (Managing Member), 2512 W Fern St, Tampa, FL 33614 (Physical)
Agent:
Ian Giovinco,1219 N Franklin St, Tampa, FL 33602 (Physical)
EIN:
N/-A

Physician Partnership Alliance, LLC

1411 N West Shr Blvd, Tampa, FL 33607

Status:
Inactive
Vice President:
Family Physician Partners, Inc (Vice President)

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