PULMONARY MEDICINE PA
Osteopathic Medicine at Ocean Blvd, Stuart, FL

License number
Florida ME48874
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: MRS. NITA PATEL
Title: OFFICE
Phone: (772) 214-4446
Address
Address
1100 SE Ocean Blvd, Stuart, FL 34996
National Provider ID: 1922172444
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PULMONARY MEDICINE, PA

Stuart, FL  -  Palm City, FL

Registration:
Feb 1, 1994
Phone:
(772) 220-1919 (Phone)
Addresses:
1100 E Ocean Blvd, Stuart, FL 34996 (Physical)
1000 SE Monterey Commons Blvd SUITE 101, Stuart, FL 34996 (Mailing)
3023 SW Marco Ln, Palm City, FL 34990
1001 SE Ocean Blvd, Stuart, FL 34996
State ID:
P94000006372
Business type:
Florida Profit Corporation
President, Secretary, Director:
Devang Bmd Patel (President, Secretary, Director), 1000 SE Monterey Commons Blvd #101, Stuart, FL 34996 (Physical)
Agent:
Devang Patel,1000 SE Monterey Commons Blvd SUITE 101, Stuart, FL 34996 (Physical)
EIN:
65-0466749

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