TO YOUR HEALTH OF LAKE COUNTY INC
Osteopathic Medicine at Ace Ave, Leesburg, FL

License number
Florida ME70698
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. JOSEPH L CARRASCO M.D.
Title: OWNER
Phone: (352) 326-5281
Address
Address
26540 Ace Ave SUITE 108C, Leesburg, FL 34748
National Provider ID: 1104017946
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TO YOUR HEALTH OF LAKE COUNTY, INC

Leesburg, FL  -  Mount Dora, FL  -  Eustis, FL

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
To Your Health Of Lake County<br>To Your Health Of Lake County - Joseph Carrasco MD
Inactive reason:
AMENDMENT
Registration:
Aug 2, 2007
Inactive since:
Sep 26, 2014
Phone:
(352) 326-5281 (Phone)
Addresses:
26540 Ace Ave SUITE 108-C, Leesburg, FL 34748 (Physical)
18550 Us Hwy 441, Mount Dora, FL 32757 (Mailing)
19336 Spg Oak Dr, Eustis, FL 32736
State ID:
P07000087096
Business type:
Florida Profit Corporation
Presidents:
Khai Chang (Secretary, Treasurer, President), 18550 Us Hwy 441, Mount Dora, FL 32757 (Physical),Joseph L Carrasco (Director), 9520 San Fernando Ct, Howey in the Hills, FL 34737 (Physical),Shahbaz Cheena (Director), 1004 Pemble Rd, Leesburg, FL 34748 (Physical),...
Agent:
Chang, Khai,18550 Us Hwy 441, Mount Dora, FL 32757 (Physical)
EIN:
26-0636498

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