DR. TODD A. PERLA, M.D.
Marriage and Family Therapists at Wall Ter, Lake City, FL

License number
Florida ME65271
Category
Osteopathic Medicine
Type
Family Medicine
Address
Address
194 SW Wall Ter, Lake City, FL 32025
Phone
(386) 719-9227
(386) 754-9515
(352) 265-0627 (Fax)
National Provider ID: 1235146408
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TODD A. PERLA at bizstanding.com

Origins Family Medical & Weight - Todd A Perla MD

Baya & 90, Lake City, FL 32024

Categories:
Family & General Practice Physicians & Surgeons, Physicians & Surgeons
Phone:
(386) 269-7449 (Phone)

TODD PERLA, M.D., P. A

254 NW Lk Vly Ter, Lake City, FL 32055

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 29, 2007
Inactive since:
Sep 27, 2013
State ID:
P07000127578
Business type:
Florida Profit Corporation
Todd Perla, 254 NW Lk Vly Ter, Lake City, FL 32055 (Physical)
Agent:
Guy Norris,253 NW Main Blvd, Lake City, FL 32055 (Physical)
FEI/EIN:
26-1495822

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