PHYSICIANS IMMEDIATE CARE NORTH, LLC
Ambulatory Health in Fort Pierce, FL

License number
Florida HCC7482
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: KENNETH PALESTRANT M.D.
Title: CEO
Phone: (772) 343-1776
Address
Address
5550 S Us Hwy, Fort Pierce, FL 34982
National Provider ID: 1649665902
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 NORTH, LLC

5550 S Us Hwy 1, Fort Pierce, FL 34982

Registration:
Jun 11, 2013
State ID:
L13000084155
Business type:
Florida Limited Liability Company
Managing Members:
Kenneth 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),Physicians Immediate Care Group, Llc Managing Member, inactive
Agent:
Reittinger & Associates,4520 Dixie Hwy NE, Palm Bay, FL 32905 (Physical)
EIN:
46-3018574

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