PSG OF NAPLES LLC
Medical Practice at 5 St, Boca Raton, FL

License number
Florida OS007183
Category
Medical Practice
Type
Pain Medicine
Owner
Name: CAROLYN VIA
Title: MGRM
Phone: (561) 368-7118
Address
Address
40 SE 5Th St STE 406, Boca Raton, FL 33432
National Provider ID: 1619298544
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PSG OF NAPLES LLC at bizstanding.com

PSG OF NAPLES, LLC

Boca Raton, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Jul 31, 2008
Inactive since:
Aug 1, 2012
Addresses:
40 SE 5 Ave, Boca Raton, FL 33432 (Physical)
40 SE 5 St, Boca Raton, FL 33432
State ID:
L08000073678
Business type:
Florida Limited Liability Company
Managing Member:
Carolyn Via Managing Member, inactive, 40 SE 5 Ave, Boca Raton, FL 33432 (Physical)
Agent:
Via, Carolyn,40 SE 5 Ave, Boca Raton, FL 33432 (Physical)
EIN:
26-3117714

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