SUMMERLIN IMAGING CENTER
Medical Practice at San Miguel St, Tampa, FL

License number
Florida 2970
Issued Date
Jun 13, 2003
Effective Date
Jun 13, 2003
Expiration Date
Jun 13, 2005
Category
Health Care
Type
Health Care Clinic Registration
Address
Address 2
3208 W San Miguel St, Tampa, FL 33629
20 Barkley Cir SUITE 102, Fort Myers, FL 33907
Phone
(239) 425-0370
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about SUMMERLIN IMAGING CENTER at bizstanding.com

Summerlin Imaging

Fort Myers, FL  -  West Palm Beach, FL

Status:
Inactive
Doing business as:
SUMMERLIN IMAGING CENTER, LLC<br>Summerlin Imaging Center<br>Summerlin Imaging Ctr
Inactive reason:
REINSTATEMENT
Registration:
Nov 8, 2002
Inactive since:
Jan 19, 2011
Phone:
(239) 425-0370 (Phone)
Addresses:
20 Barkley Cir, Fort Myers, FL 33907
13199 Samoset Ct, West Palm Beach, FL 33414 (Mailing)
State ID:
L02000029942
Business type:
Florida Limited Liability Company
S:
Richard O Davis (Manager), 3208 W San Miguel, Tampa, FL 33629 (Physical),Kevin M Carroll (Manager), 13199 Samoset Ct, West Palm Beach, FL 33414 (Physical),B. Annette Meredith (Dir Credentialing & Reimbursement, Director, Principal),...
Agent:
Thomas Mcnamara,2909 Bay To Bay Blvd SUITE 309, Tampa, FL 33629 (Physical)
EIN:
54-2083178

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