PHYSICIAN'S PATHOLOGY SERVICES, PA
Medical Laboratory at Maitland Ave, Altamonte Springs, FL

License number
Florida 10D2030221
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. ROSS C WHELER MD
Title: OWNER/OPERATOR
Phone: (407) 702-8027
Address
Address 2
451 Maitland Ave, Altamonte Springs, FL 32701
5519 Avenue Du Soleil, Lutz, FL 33558
National Provider ID: 1558616870
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PHYSICIAN'S PATHOLOGY SERVICES, PA at bizstanding.com

PHYSICIAN'S PATHOLOGY SERVICES, PA

Orange City, FL  -  Maitland, FL  -  Altamonte Springs, FL  -  Lutz, FL

Status:
Inactive
Inactive reason:
Amendment
Registration:
May 20, 2011
Inactive since:
Jun 4, 2015
Addresses:
942 Saxon Blvd SUITE B, Orange City, FL 32763 (Physical)
865 Creston Dr, Maitland, FL 32751
451 Maitland Ave, Altamonte Springs, FL 32701
813 Lorena Rd, Lutz, FL 33548
State ID:
P11000048364
Business type:
Florida Profit Corporation
Directors:
Physician's Pathology Services, 231 Riverside Dr, Daytona Beach, FL 32117 (Physical),Ross C Wheeler (Director), 942 Saxon Blvd SUITE B, Orange City, FL 32763 (Physical)
Agent:
Borcheck, Michael,280 W Canton Ave, Winter Park, FL 32789 (Physical)
EIN:
38-3839097

Medical Laboratory licenses in Florida

Other Doctors licenses in Florida