RHEUMATOLOGY ASSOCIATES PA
Medical Practice at Ocean Blvd, Stuart, FL

License number
Florida 207RR0500X
Category
Medical Practice
Type
Specialist
Owner
Name: DR. DARRELL N FISKE MD
Title: ADMINISTRATOR
Phone: (772) 283-8380
Address
Address
2081 SE Ocean Blvd SUITE 3-B, Stuart, FL 34996
National Provider ID: 1346451432
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RHEUMATOLOGY ASSOCIATES, PA

2081 SE Ocean Blvd, Stuart, FL 34996

Status:
Inactive
Inactive reason:
Name Change Amendment
Registration:
Aug 18, 1976
Inactive since:
Jul 28, 2003
State ID:
510829
Business type:
Florida Profit Corporation
Treasurer, Director, Secretarys:
Darrell Fiske (President, Director), 4571 SW Oakhaven, Palm City, FL 34990 (Physical),John M Houri (Treasurer, Director, Secretary), 3712 SW Bimini Cir, Palm City, FL 34990 (Physical)
Agent:
Fiske, Darrell,2081 SE Ocean Blvd, Stuart, FL 34996 (Physical)
EIN:
591692055

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