S. TRACY RHODES, M.D. P.A.
Osteopathic Medicine at Lake Howell Rd, Winter Park, FL

License number
Florida ME60716
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: TRACY RHODES M.D.
Title: PRESIDENT
Phone: (407) 679-3400
Address
Address
5526 Lake Howell Rd, Winter Park, FL 32792
National Provider ID: 1588835565
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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S. TRACY RHODES, M.D., PA

Winter Park, FL

Status:
Inactive
Inactive reason:
Corporate Merger
Registration:
Jul 14, 2003
Inactive since:
Nov 17, 2005
Addresses:
5554 Lk Howell Rd, Winter Park, FL 32792 (Physical)
5526 Lk Howell Rd, Winter Park, FL 32792
5474 Lk Howell Rd, Winter Park, FL 32792
State ID:
P03000078261
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary, Vice Presidents:
S Tracy Rhodes, 5554 Lk Howell Rd, Winter Park, FL 32792 (Physical),S. Tracy Rhodes (President, Treasurer, Director, Secretary, Vice President)
Agent:
Rhodes, Spencer,126 E Jefferson St, Orlando, FL 32801 (Physical)
EIN:
74-3099759

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