PHYSICIAN'S CARE OF POINCIANA, LLC
Medical Practice at Southport Rd, Kissimmee, FL

License number
Florida ME18355
Category
Medical Practice
Type
Medical Genetics, Ph.D. Medical Genetics
Owner
Name: ELISEO D. ESPAILLAT
Title: MGRM
Phone: (786) 333-7856
Address
Address
3358 W Southport Rd, Kissimmee, FL 34746
National Provider ID: 1376836726
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIAN'S CARE OF POINCIANA, LLC

3358 W Southport Rd, Kissimmee, FL 34746

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 13, 2011
Inactive since:
Sep 28, 2012
State ID:
L11000044087
Business type:
Florida Limited Liability Company
Managing Member:
Arturo Md Perez Managing Member, inactive, 3358 W Southport Rd, Kissimmee, FL 34746 (Physical)
Agent:
Arturo Perez,3358 W Southport Rd, Kissimmee, FL 34746 (Physical)
EIN:
NO-NE

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