PSYCHIATRIC CONSULTANTS OF CENTRAL FLORIDA, LLC
Neurology at Vine St, Kissimmee, FL

License number
Florida ME 115004
Category
Psychiatric
Type
Geriatric Psychiatry
License number
Florida ME 115004
Category
Neurology
Type
Behavioral Neurology & Neuropsychiatry
Owner
Name: AJITH KUMAR POTLURI M.D.
Title: OWNER
Phone: (407) 962-7449
Address
Address
3389 W Vine St SUITE 304, Kissimmee, FL 34741
National Provider ID: 1174951891
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PSYCHIATRIC CONSULTANTS OF CENTRAL FLORIDA, LLC at bizstanding.com

PSYCHIATRIC CONSULTANTS OF CENTRAL FLORIDA LLC

Kissimmee, FL

Registration:
Sep 16, 2013
Addresses:
3389 W Vine St 304, Kissimmee, FL 34741 (Physical)
3389 W Vine St, Kissimmee, FL 34741
State ID:
L13000130224
Business type:
Florida Limited Liability Company
Managers:
Md Potluri, 3389 W Vine St SUITE #304, Kissimmee, FL 34741 (Physical),Ajith K. Potluri (Manager)
Agent:
Small Business Accountants, Inc,3389 W Vine St, Kissimmee, FL 34741 (Physical)
EIN:
46-3698798

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