URGENT CARE CENTER OF PORT ORANGE LLC
Suppliers at Dunlawton Ave, Daytona Beach, FL

License number
Florida ME78370
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: VP OF OPERATIONS
Phone: (858) 964-1506
Address
Address 2
1690 Dunlawton Ave SUITE 120, Daytona Beach, FL 32127
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1528499746
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about URGENT CARE CENTER OF PORT ORANGE LLC at bizstanding.com

URGENT CARE CENTER OF PORT ORANGE, LLC

1690 Dunlawton Ave SUITE 120, Port Orange, FL 32127

Status:
Inactive
Inactive reason:
LC AMENDMENT
Registration:
Jan 25, 2005
Inactive since:
Aug 29, 2014
State ID:
L05000008067
Business type:
Florida Limited Liability Company
Managers:
Advanced Healthcare Systems, Pa (Manager), 1690 Dunlawton Ave SUITE 210, Port Orange, FL 32127 (Physical),Abir Hemaidan (Manager), 1690 Dunlawton Ave SUITE 110, Port Orange, FL 32127 (Physical),Irini Enterprises, Llc Manager, inactive
Agent:
Advanced Healthcare Systems,1690 Dunlawton Ave, Port Orange, FL 32127 (Physical)
EIN:
202224258

Suppliers licenses in Florida










Other Doctors licenses in Florida