PHYSICIANS FOR QUALITY HEALTHCARE,INC
Physical Therapy at Highway 466, Lady Lake, FL

License number
Florida ME76719
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: GEORGE GHANEM
Title: COO
Phone: (239) 768-6396
Address
Address 2
733 Highway 466, Lady Lake, FL 32159
6150 Diamond Centre Ct BLDG 100, Fort Myers, FL 33912
National Provider ID: 1407230659
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS FOR QUALITY HEALTHCARE, INC

Fort Myers, FL

Status:
Inactive
Industry:
Health/Allied Services
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Sep 18, 2002
Inactive since:
Jun 14, 2011
Addresses:
6150 Diamond Ctr Ct BUILDING 100, Fort Myers, FL 33912 (Physical)
12090 Metro Pkwy, Fort Myers, FL 33966 (Mailing)
State ID:
P02000101140
Business type:
Florida Profit Corporation
Director:
George Ghanem (Director), 12090 Metro Pkwy, Fort Myers, FL 33966 (Physical)
Agent:
Ghanem, George,12090 Metro Pkwy, Fort Myers, FL 33966 (Physical)
EIN:
14-1846792

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