URGENT CARE OF WILTON MANORS
Ambulatory Health at 10 Ave, Fort Lauderdale, FL

License number
Florida ME 82806
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: JEANNETTE GARZON RN
Title: PRACTICE MANAGER
Phone: (954) 763-1230
Address
Address
2607 NE 10Th Ave, Fort Lauderdale, FL 33334
National Provider ID: 1982932075
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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URGENT CARE OF WILTON MANORS, INC

Fort Lauderdale, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 14, 2006
Inactive since:
Sep 23, 2011
Addresses:
2607 NE 10 Ave, Fort Lauderdale, FL 33334 (Physical)
100 SE 15 Ave, Fort Lauderdale, FL 33301
State ID:
P06000093493
Business type:
Florida Profit Corporation
Secretary, Vice Presidents:
Jeffrey Caron President, inactive, 2607 NE 10 Ave, Fort Lauderdale, FL 33334 (Physical),Jeannette Garzon Secretary, Vice President, inactive, 2607 NE 10 Ave, Fort Lauderdale, FL 33334 (Physical)
Agent:
Wilton Manors Urgent Care,2607 NW 10 Ave, Fort Lauderdale, FL 33334 (Physical)
EIN:
205210531

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