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

License number
Florida ME78370
Category
Medical Practice
Type
Specialist
Owner
Name: DR. AMMAR HEMIADAN MD
Title: OWNER
Phone: (386) 795-4303
Address
Address 2
1690 Dunlawton Ave SUITE 120, Daytona Beach, FL 32127
1240 E Normandy Blvd SUITE 100, Deltona, FL 32725
National Provider ID: 1518365303
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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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

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