SCOTT L DUNAVANT MD, INC
Osteopathic Medicine at Tarpon Bay Rd, Sanibel, FL

License number
Florida ME109424
Category
Osteopathic Medicine
Type
Emergency Medicine
Owner
Name: SCOTT L DUNAVANT MD
Title: OWNER
Phone: (239) 278-1155
Address
Address
695 Tarpon Bay Rd SUITE 2, Sanibel, FL 33957
National Provider ID: 1790175842
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SCOTT L. DUNAVANT, M.D., PLLC

Sanibel, FL

Status:
Inactive
Doing business as:
Scott L Dunavant MD, Inc
Registration:
Jan 29, 2009
Addresses:
1277 Par Vw Dr, Sanibel, FL 33957 (Physical)
1314 Isabel Dr, Sanibel, FL 33957
State ID:
0722397
Business type:
Kentucky Limited Liability Company
Entity State:
KY
Organizers:
Scott L Dunavant (Manager, President),Scott L. Dunavant, M.d (Organizer)
Agent:
Scott Dunavant

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