RUSI A UDWADIA
Medical Practice at Estero Blvd, Fort Myers Beach, FL

License number
Florida 100057
Issued Date
Sep 25, 2007
Effective Date
Sep 25, 2007
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address 2
7100 Estero Blvd, Fort Myers Beach, FL 33931
4048 Evans Ave STE 209, Fort Myers, FL 33901
Phone
(239) 463-3940
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Pediatric Centers of Lee County, Inc

4048 Evans Ave, Fort Myers, FL 33901

Industry:
Medical Doctor's Office
Doing business as:
Morales, Osvaldo Dr<br>Pediatrics Center<br>Pediatrics Center-Lee County - Robert E Rayder MD<br>Pediatrics Center-Lee County - Rusi A Udwadia MD
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Apr 1, 1993
Inactive since:
Nov 13, 2002
Phone:
(239) 278-9983 (Phone)
State ID:
P93000024257
Business type:
Florida Profit Corporation
Directors:
Osvaldo R Morales Del Castill (Director),Osvaldo R Morales Del Castillo Director, inactive
Agent:
Osvaldo R. Morales Del Castillo Md Pa,4048 Evans Ave, Fort Myers, FL 33901 (Physical)
EIN:
65-0417446

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