RIVIERA PLAZA MEDICAL OFFICE LLC
Ambulatory Health at Ridgewood Ave, Daytona Beach, FL

License number
Florida ME47765
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. GLORIA HELEN MIKULA MD
Title: MEDICAL DIRECTOR
Phone: (386) 677-5415
Address
Address
1702 Ridgewood Ave SUITE I, Daytona Beach, FL 32117
National Provider ID: 1013338144
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RIVIERA PLAZA MEDICAL OFFICE LLC at bizstanding.com

Riviera Plaza Medical Office LLC

1702 Ridgewood Ave, Daytona Beach, FL 32117

Registration:
Oct 8, 2013
State ID:
L13000141537
Business type:
Florida Limited Liability
Manager:
Gloria Mikula (Manager)
Agent:
Mikula H. Gloria

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