SUNRISE PULMONARY GROUP INC
Osteopathic Medicine at Sheridan St, Hollywood, FL

License number
Florida HCC6392
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: GIOVANNE ZYGALA
Title: CREDENTIALING MANAGER
Phone: (954) 957-7171
Address
Address 2
7369 Sheridan St SUITE 302, Hollywood, FL 33024
6245 N Federal Hwy SUITE 300, Fort Lauderdale, FL 33308
National Provider ID: 1952317778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUNRISE PULMONARY GROUP, INC

6245 N Federal Hwy SUITE 300, Fort Lauderdale, FL 33308

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Jul 1, 1968
Inactive since:
Sep 28, 2012
State ID:
600397
Business type:
Florida Profit Corporation
Treasurer, Secretary, Directors:
Bruce A.. Nager President, Director, inactive, 6245 N Federal Hwy SUITE 300, Fort Lauderdale, FL 33308 (Physical),Christopher T. Harkins Treasurer, Secretary, Director, inactive, 6245 N Federal Hwy SUITE 300, Fort Lauderdale, FL 33308 (Physical)
Agent:
Christopher Harkins,6245 N Federal Hwy SUITE 300, Fort Lauderdale, FL 33308 (Physical)
EIN:
591213506

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