TAMMY KALIKO WILLINGHAM, INC.
Managed Care Organizations at Terrace Shores Dr, Melbourne, FL

License number
Florida SA8192
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MS. TAMMY KALIKO WILLINGHAM MA/SLP/CCC
Title: PRESIDENT
Phone: (321) 984-2789
Address
Address
151 Terrace Shores Dr, Melbourne, FL 32903
National Provider ID: 1265668511
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TAMMY KALIKO WILLINGHAM, INC. at bizstanding.com

Tammy Kaliko Willingham, Inc

151 Ter Shr Dr, Melbourne, FL 32903

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Registration:
Apr 21, 2005
State ID:
P05000059357
Business type:
Domestic for Profit Corporation
President, Secretary:
Tammy K. Willingham President, Secretary, inactive
Agent:
Robert E. Bickford

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