ST BERNADETTE'S CARE LLC
Osteopathic Medicine at Legend Hills Ln, Brooksville, FL

License number
Florida ME95797
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: JOSE CERON-FUENTES M.D.
Title: PRESIDENT
Phone: (352) 593-4242
Address
Address
5448 Legend Hills Ln, Brooksville, FL 34609
National Provider ID: 1205119609
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ST BERNADETTE'S CARE LLC at bizstanding.com

ST. BERNADETTE'S CARE LLC

Brooksville, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 2, 2011
Inactive since:
Sep 26, 2014
Addresses:
14489 Middle Fairway Dr, Spring Hill, FL 34609 (Physical)
12122 Cortez Blvd, Brooksville, FL 34613
5448 Legend Hl Ln, Brooksville, FL 34609
State ID:
L11000101048
Business type:
Florida Limited Liability Company
Managing Members:
Ceron-Fuentes, Jose D, 14489 Middle Fairway Dr, Spring Hill, FL 34609 (Physical),Jose D. Ceron-Fuentes Managing Member, inactive
Agent:
Christopher Nuland,1000 Riverside Ave, Jacksonville, FL 32204 (Physical)
EIN:
45-3192128

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