PHYSICIANS IMMEDIATE CARE JENSEN BEACH, LLC
Ambulatory Health at Jensen Beach Blvd, Jensen Beach, FL

License number
Florida HCC10747
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: KENNETH PALESTRANT M.D.
Title: CEO
Phone: (772) 343-1776
Address
Address
1801 NE Jensen Beach Blvd, Jensen Beach, FL 34957
National Provider ID: 1952796112
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS IMMEDIATE CARE JENSEN BEACH, LLC

1801 NE Jensen Bch Blvd, Jensen Beach, FL 34957

Status:
Inactive
Doing business as:
Physicians Immediate Care Inc<br>Physicians Immediate Care
Registration:
Jun 11, 2013
Phone:
(772) 334-1700 (Phone)
State ID:
L13000084188
Business type:
Florida Limited Liability Company
Managing Members:
Kenneth J Palestrant (Managing Member), 4007 SW Prt St Lucie Blvd, Port Saint Lucie, FL 34953 (Physical),Gabriella Palestrant (Managing Member), 2012 SE Kilmallie Ct, Port Saint Lucie, FL 34952 (Physical),Curtis Edwerd (Emergency Medicine Specialist),...
Agent:
Reittinger & Associates,4520 Dixie Hwy NE, Palm Bay, FL 32905 (Physical)
EIN:
46-3031631

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