SLEEP SOLUTIONS OF NORTH FLORIDA LLC
Ambulatory Health at Bascom Norris Dr, Lake City, FL

License number
Florida HCC7963
Category
Ambulatory Health
Type
Sleep Disorder Diagnostic
Owner
Name: MRS. BRANDALYN MICHELLE WOMBLE
Title: PRESIDENT
Phone: (386) 752-6700
Address
Address
1140 SW Bascom Norris Dr SUITE 101, Lake City, FL 32025
National Provider ID: 1841475043
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SLEEP SOLUTIONS OF NORTH FLORIDA LLC

Lake City, FL

Status:
Inactive
Industry:
Commercial Physical Research
Doing business as:
Sleep Solutions of North Florida
Inactive reason:
Reinstatement
Registration:
Jun 4, 2007
Inactive since:
Oct 17, 2012
Addresses:
163 SW Stonegate Ter, Lake City, FL 32024
1140 SW Bascom Norris Dr, Lake City, FL 32025
757 SW State Rd 247, Lake City, FL 32025
State ID:
L07000058281
Business type:
Florida Limited Liability Company
Presidents:
William B Womble (President, Secretary), 533 NW Amanda St, Lake City, FL 32055 (Physical),Brandalyn M Womble (President, Vice President), 533 NW Amanda St, Lake City, FL 32055 (Physical),Brandalyn Michelle (President)
Agent:
William Womble,1140 SW Bascom Norris Dr #101, Lake City, FL 32025 (Physical)
EIN:
26-0599941

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