TERI CUMPTON MD PL
Psychiatric at 17 St, Ocala, FL

License number
Florida ME66357
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: DENISE L WEST
Title: CREDENTIALING
Phone: (352) 237-7646
Address
Address
2300 SE 17Th St BUILDING 1000, Ocala, FL 34471
National Provider ID: 1801178975
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TERI CUMPTON, M.D., P.L

Ocala, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Lc Voluntary Dissolution
Registration:
Dec 22, 2009
Inactive since:
Sep 29, 2014
Addresses:
2050 Laurel Run Dr, Ocala, FL 34471 (Physical)
2300 SE 17 St, Ocala, FL 34471
State ID:
L09000122279
Business type:
Florida Limited Liability Company
Managing Members:
Cumpton, Teri, M.d, 2050 Laurel Run Dr, Ocala, FL 34471 (Physical),Teri M. Cumpton Managing Member, inactive
Agent:
Cumpton, Teri,2050 Laurel Run Dr, Ocala, FL 34471 (Physical)
EIN:
27-1554439

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