PROFESSIONAL FAMILY PRACTICE
Ambulatory Health at Almond St, Clermont, FL

License number
Florida ME85427
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MRS. PURNAMA D MADRAY
Title: OWNER
Phone: (352) 404-7707
Address
Address
725 Almond St, Clermont, FL 34711
National Provider ID: 1275962680
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Professional Family Practice Inc

Clermont, FL

Status:
Inactive
Industry:
Business Services at Non-Commercial Site, Medical Doctor's Office
Doing business as:
Professional Family Pract
Registration:
Aug 16, 2013
Phone:
(352) 404-7707 (Phone)
Addresses:
2105 Hartwood Marsh Rd, Clermont, FL 34711
725 Almond St, Clermont, FL 34711
2920 Magnolia Blossom Cir, Clermont, FL 34711
State ID:
P13000068478
Business type:
Domestic for Profit Corporation
Secretary, Vice Presidents:
Purnama D. Madray President, Treasurer, inactive,Maria E. Hernandez Director, inactive,Kamani Sookpaul Secretary, Vice President, inactive
Categories:
Physicians & Surgeons

Ambulatory Health licenses in Florida