PRN OF NW FLORIDA INC
Nursing at Sugar Bowl Ln, Gulf Breeze, FL

License number
Florida ARNP 2210632
Category
Agencies
Type
Nursing Care
License number
Florida ARNP2210632
Category
Nursing
Type
Adult Health
Owner
Name: JAMES C CHANEY JR. ARNP
Title: OWNER
Phone: (850) 916-0788
Address
Address 2
2 Sugar Bowl Ln, Gulf Breeze, FL 32561
PO Box 244, Gonzalez, FL 32560
National Provider ID: 1194885350
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRN OF NW FLORIDA, INC

Gulf Breeze, FL  -  Gonzalez, FL

Status:
Inactive
Inactive reason:
Reinstatement
Registration:
Aug 14, 2006
Inactive since:
Mar 1, 2011
Addresses:
2 Sugar Bowl Ln, Gulf Breeze, FL 32561 (Physical)
Gonzalez, FL 32560 (Mailing)
PO Box 244, Gonzalez, FL 32560
State ID:
P06000105253
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
James Cjr Chaney (President, Treasurer, Secretary), 2 Sugar Bowl Ln, Gulf Breeze, FL 32561 (Physical)
Agent:
James Chaney,2 Sugar Bowl Ln, Gulf Breeze, FL 32561 (Physical)
EIN:
20-5366247

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