SPACE COAST SLEEP DISORDERS CENTER LLC
Ambulatory Health at Classic Ct, Melbourne, FL

License number
Florida HCC7135
Category
Ambulatory Health
Type
Sleep Disorder Diagnostic
Owner
Name: MR. ANTONIO EDWIN STIGALL RRT, RPSGT
Title: PRESIDENT/CEO
Phone: (321) 255-9901
Address
Address
640 Classic Ct SUITE 106, Melbourne, FL 32940
National Provider ID: 1023037272
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SPACE COAST SLEEP DISORDERS CENTER LLC at bizstanding.com

SPACE COAST SLEEP DISORDERS CENTER, LLC

640 Classic Ct SUITE 106, Melbourne, FL 32940

Status:
Inactive
Industry:
Health/Allied Services
Inactive reason:
REINSTATEMENT
Registration:
Sep 19, 2005
Inactive since:
Oct 5, 2006
State ID:
L05000092047
Business type:
Florida Limited Liability Company
Managers:
Antonio E Stigall (Manager), 4835 N Us Hwy 1, Melbourne, FL 32935 (Physical),Jennifer L Stigall (Manager), 4835 N Us Hwy 1, Melbourne, FL 32935 (Physical)
Agent:
Antonio Stigall,4835 N Us Hwy 1, Melbourne, FL 32935 (Physical)
EIN:
20-3758509

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