STACEY A ZAWACKI
Nursing at Pink Poppy Dr, Beverly Hills, FL

License number
Florida 143123
Issued Date
Jan 18, 2007
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
4085 N Pink Poppy Dr, Beverly Hills, FL 34465
Phone
(352) 270-3485
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Stacey Zawacki, age 66
4085 N Pink Poppy Dr, Beverly Hills, FL 34465
(352) 270-3485
Stacey Zawacki, age 50
4410 La Rosa Ave, North Port, FL 34286
Stacey Zawacki
Beverly Hills, FL
(352) 270-3485
Stacey Zawacki
4410 La Rosa Ave, North Port, FL 34286

Organization information

See more information about STACEY A ZAWACKI at bizstanding.com

STACEY A. ZAWACKI, PA

4085 N Pinkpoppy Dr, Beverly Hills, FL 34465

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 24, 2007
Inactive since:
Sep 24, 2010
State ID:
P07000083945
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Stacey A Zawacki President, Treasurer, Secretary, Director, inactive, 4085 N Pinkpoppy Dr, Beverly Hills, FL 34465 (Physical)
Agent:
Stacey Zawacki,4085 N Pinkpoppy Dr, Beverly Hills, FL 34465 (Physical)
EIN:
26-0281888

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