SUJATHA RAMAMURTHY MD PA
Ambulatory Health at Jog Rd, Delray Beach, FL

License number
Florida ME84067
Category
Ambulatory Health
Type
Primary Care
Owner
Name: SUJATHA RAMAMURTHY MD
Title: OWNER
Phone: (561) 637-3612
Address
Address 2
15200 Jog Rd SUITE 303, Delray Beach, FL 33446
PO Box 970386, Boca Raton, FL 33497
National Provider ID: 1215120639
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUJATHA RAMAMURTHY MD PA

Delray Beach, FL  -  Boca Raton, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 22, 2003
Inactive since:
Sep 23, 2011
Addresses:
15200 Jog Rd 303, Delray Beach, FL 33446 (Physical)
Boca Raton, FL 33428 (Mailing)
State ID:
P03000092483
Business type:
Florida Profit Corporation
Sujatha Ramamurthy, 12350 Rockledge Cir, Boca Raton, FL 33428 (Physical)
Agent:
Ramamurthy, Sujatha,12350 Rockledge Cir, Boca Raton, FL 33428 (Physical)
FEI/EIN:
20-0177344

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