SUZANNE K. ZOSS, PH.D., P.A.
Social Work at Bayou Blvd, Pensacola, FL

License number
Florida PY 3413
Category
Social Work
Type
Clinical
Owner
Name: DR. SUZANNE K. ZOSS PH.D.
Title: PRESIDENT
Phone: (850) 291-2568
Address
Address
4300 Bayou Blvd SUITE 35, Pensacola, FL 32503
National Provider ID: 1902887268
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUZANNE K. ZOSS, PH.D., PA

Fort Myers, FL  -  Pensacola, FL

Status:
Inactive
Inactive reason:
Voluntary Dissolution
Registration:
Jun 28, 2004
Inactive since:
Feb 27, 2014
Addresses:
7074 W Brandywine Cir, Fort Myers, FL 33919 (Physical)
1115 Watson Ave, Pensacola, FL 32503 (Mailing)
State ID:
P04000097862
Business type:
Florida Profit Corporation
President, Director:
Suzanne K Zoss President, Director, inactive, 1115 Watson Ave, Pensacola, FL 32503 (Physical)
Agent:
Suzanne Zoss,1115 Watson Ave, Pensacola, FL 32503 (Physical)
EIN:
20-1304323

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