POLK COUNTY ADULT HEALTH CARE PA
Osteopathic Medicine at Cypress Gardens Rd, Winter Haven, FL

License number
Florida ME80722
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MARIA PONGOS
Title: PRESIDENT
Phone: (863) 318-1111
Address
Address
4842 Cypress Gardens Rd, Winter Haven, FL 33884
National Provider ID: 1518164417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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POLK COUNTY ADULT HEALTH CARE PA

6270 Cypress Gdn Blvd, Winter Haven, FL 33884

Registration:
Jan 5, 2004
State ID:
P04000004475
Business type:
Florida Profit Corporation
Maria Pongos, 6270 Cypress Gdn Blvd, Winter Haven, FL 33884 (Physical)
Agent:
Pongos, Maria,6270 Cypress Gdn Blvd, Winter Haven, FL 33884 (Physical)
FEI/EIN:
20-0550570

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