SURFSIDE FAMILY MEDICINE LLC
Ambulatory Health at Atlantic Ave, Cocoa Beach, FL

License number
Florida ME94076
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. OLGA DORJIMA EMGUSHOV MD
Title: OWNER/PHYSICIAN
Phone: (321) 799-2554
Address
Address
3000 N Atlantic Ave STE 108, Cocoa Beach, FL 32931
National Provider ID: 1801028246
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SURFSIDE FAMILY MEDICINE LLC at bizstanding.com

Surfside Family Medicine LLC

3000 N Atlantic Ave, Cocoa Beach, FL 32931

Status:
Inactive
Doing business as:
Surfside Family Medicine Inc
Registration:
Jun 19, 2009
State ID:
L09000059759
Business type:
Florida Limited Liability
Managing Members:
Brian M. Boggs Manager, Vice President, inactive,Olga M. Emgushov Managing Member, President, inactive,Olga Emgushob Managing Member, inactive
Agent:
Surfside Family Practice Llc

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