UGA STREET, INC
Ambulatory Health in Tampa, FL

License number
Florida HCC009401
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: CHRISTIAN NWOYE R.PH,
Title: PRESIDENT/CEO
Phone: (813) 248-1621
Address
Address
3302 E. Martin Luther King Jr Blvd. #101, Tampa, FL 33610
National Provider ID: 1316205123
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about UGA STREET, INC at bizstanding.com

UGA STREET, INC

Tampa, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Jul 18, 2011
Inactive since:
Aug 17, 2011
Addresses:
3301 E Martin Luther King Jr Blvd STE 101, Tampa, FL 33610 (Physical)
Tampa, FL 33680 (Mailing)
PO Box 310256, Tampa, FL 33680
State ID:
P11000064515
Business type:
Florida Profit Corporation
President:
Christian Nwoye (President), 3301 E Martin Luther King Jr Blvd STE 101, Tampa, FL 33610 (Physical)
Agent:
Nwoye, Christian,3301 E Martin Luther King Jr Blvd STE 101, Tampa, FL 33610 (Physical)
EIN:
452795177

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