PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC.
Ambulatory Health at 3 Ct, Fort Lauderdale, FL

License number
Florida OS1505
Category
Osteopathic Medicine
Type
Emergency Medicine
License number
Florida ME79405
Category
Osteopathic Medicine
Type
General Practice
License number
Florida OS1505
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: OLLIE ROYSTER
Title: MANAGER
Phone: (954) 530-9280
Address
Address
4101 NW 3Rd Ct SUITE 3, Fort Lauderdale, FL 33317
National Provider ID: 1194101618
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC. at bizstanding.com

PRUDENTIAL URGENT CARE & DIAGNOSTIC, INC

5411 N State Rd 7, Ft Lauderdale, FL 33319

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jun 24, 2014
Inactive since:
Jun 1, 2015
State ID:
P14000054699
Business type:
Florida Profit Corporation
Martine Polycarpe Bonhomme, 5411N State Rd 7, Ft Lauderdale, FL 33313 (Physical)
Agent:
Donald Goldrich,5177 N W 74 Mnr, Pompano Beach, FL 33073 (Physical)
FEI/EIN:
47-1288948

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