PULMONOLOGY AND SLEEP CENTER LLC
Osteopathic Medicine at Congress Ave, Boynton Beach, FL

License number
Florida 0068055
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Florida 0068055
Category
Osteopathic Medicine
Type
Critical Care Medicine
License number
Florida 0068055
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: FREDERICK TACKEY MD
Title: MANAGING MEMBER
Phone: (561) 374-8919
Address
Address
2300 SOUTH Congress Ave SUITE 101, Boynton Beach, FL 33426
National Provider ID: 1447266085
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PULMONOLOGY AND SLEEP CENTER LLC

Boynton Beach, FL

Doing business as:
PULMONOLGY REALTY LLC
Registration:
Dec 17, 2001
Addresses:
2300 S Congress Ave SUITE 101, Boynton Beach, FL 33426 (Physical)
Boynton Beach, FL 33435 (Mailing)
PO Box 550, Boynton Beach, FL 33425
State ID:
L01000021790
Business type:
Florida Limited Liability Company
Managing Members:
Frederick Tackey (Manager, Managing Member), 2300 S Congress Ave SUITE 101, Boynton Beach, FL 33426 (Physical),Jacqeline Bandoh (Manager), 2300 S Congress Ave SUITE 101, Boynton Beach, FL 33426 (Physical),Jacqueline Bandoh Managing Member, inactive
Agent:
Bandoh, Jacqueline,10849 Lk Wynds Ct, Boynton Beach, FL 33437 (Physical)
EIN:
65-1157149

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