PHYSICIANS HOME VISITS LLC
Marriage and Family Therapists at Simonton Pl, Lake Mary, FL

License number
Florida ME103141
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. KURTIS A HOSTETTER M.D.
Title: MGRM
Phone: (407) 878-3031
Address
Address
3624 Simonton Pl, Lake Mary, FL 32746
National Provider ID: 1245530575
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS HOME VISITS, LLC

3624 Simonton Pl, Lake Mary, FL 32746

Industry:
Single-Family House Construction
Registration:
Jan 25, 2010
State ID:
L10000008939
Business type:
Florida Limited Liability Company
Managers:
Kurtis A Hostetter (Managing Member), 3624 Simonton Pl, Lake Mary, FL 32746 (Physical),Beth J Hostetter,Elizabeth Hostetter (Manager)
Agent:
Kurtis Hostetter,3624 Simonton Pl, Lake Mary, FL 32746 (Physical)
EIN:
27-1747101

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