SANCHEZ DE FUENTES AND REAL MD PA
Medical Practice in Kissimmee, FL

License number
Florida ME0063371
Category
Medical Practice
Type
Specialist
Owner
Name: DR. RICHARD A REAL M.D.
Title: PRESIDENT
Phone: (407) 847-6166
Address
Address
1170 HUNTER'S Creek Professional Park, Kissimmee, FL 34741
National Provider ID: 1801974548
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SANCHEZ DE FUENTES AND REAL, M.D., PA

Kissimmee, FL

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Jun 1, 1981
Inactive since:
Sep 28, 2012
Addresses:
1170 Cypress Gln Cir, Kissimmee, FL 34741 (Physical)
720 W Oak St, Kissimmee, FL 34741
State ID:
F40122
Business type:
Florida Profit Corporation
President, Director:
Richard A Real President, Director, inactive, 1170 Cypress Gln Cir, Kissimmee, FL 34741 (Physical)
Agent:
Richard Real,1170 Cypress Gln Cir, Kissimmee, FL 34741 (Physical)
EIN:
592105244

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