SMIRNOFF NEUROLOGY PA
Neurology in Lady Lake, FL

License number
Florida ME106236
Category
Neurology
Type
Neurology
Owner
Name: DR. ALEXANDER H SMIRNOFF MD
Title: PRESIDENT/OWNER
Phone: (352) 633-2164
Address
Address
729 Cr 466, Lady Lake, FL 32159
National Provider ID: 1700077732
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SMIRNOFF NEUROLOGY PA at bizstanding.com

SMIRNOFF NEUROLOGY, PA

Lady Lake, FL

Registration:
Jan 28, 2010
Addresses:
1400 U.s Hwy 441 N SUITE 922, Lady Lake, FL 32159 (Physical)
1576 Bella Cruz Dr P.m.b #413, Lady Lake, FL 32159 (Mailing)
1400 N Us Hwy 441, Lady Lake, FL 32159
1576 Bella Cruz Dr, Lady Lake, FL 32159
State ID:
P10000008823
Business type:
Florida Profit Corporation
President, Director:
Alexander J Smirnoff (President, Director), 1576 Bella Cruz Dr, Lady Lake, FL 32159 (Physical)
Agent:
Alexander Smirnoff,1400 U S Hwy 441 N SUITE 922, Lady Lake, FL 32159 (Physical)
EIN:
83-0486801

Smirnoff Neurology PA DBA Neurology Center Cente

729 Hwy 466, Lady Lake, FL 32159

Industry:
Medical Doctor's Office
Internal Medicines:
Alexander J. Smirnoff (Neurology, Owner),Deanna Kiger (Medical Assistant),Christopher L. Valencia Internal Medicine, inactive

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