SUNCOAST HERNANDO SURGICAL ASSISTING INC
Nursing at Suwannee Rd, Brooksville, FL

License number
Florida PA9102477
Category
Nursing
Type
Surgical
Owner
Name: MS. JUDITH A KOSTER PA-C
Title: REGISTERED AGENT
Phone: (352) 592-4696
Address
Address
5115 Suwannee Rd, Brooksville, FL 34607
National Provider ID: 1023353125
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Suncoast Hernando Surgical Assisting, Inc

5115 Suwannee Rd, Brooksville, FL 34607

Industry:
Nonclassifiable Establishments
Doing business as:
Suncoast Hernando Surgical Assisting In
Registration:
Nov 13, 2012
State ID:
P12000094591
Business type:
Domestic for Profit Corporation
Directors:
Mark Koster (Director, President, Treasurer),Reut M. Bardach (Director)
Agent:
Judy Koster

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