URQUIZA PEDIATRICS
Medical Practice at Lakeland Hills Blvd, Lakeland, FL

License number
Florida ME14800
Category
Medical Practice
Type
Pediatrics
Owner
Name: NIKKI MORRIS
Title: BILLING AGENT
Phone: (863) 534-3259
Address
Address
1545 Lakeland Hills Blvd, Lakeland, FL 33805
National Provider ID: 1134446107
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about URQUIZA PEDIATRICS at bizstanding.com

Urquiza Pediatrics

2918 Lk Ct, Lakeland, FL 33812

Industry:
Medical Doctor's Office

URQUIZA PEDIATRICS, PA

1545 Lakeland Hl Blvd, Lakeland, FL 33805

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 10, 1998
Inactive since:
Sep 26, 2008
State ID:
P98000052927
Business type:
Florida Profit Corporation
President:
Lilia Urquiza President, inactive, 1545 Lakeland Hl Blvd, Lakeland, FL 33805 (Physical)
Agent:
Urquiza Taylor,1545 Lakeland Hl Blvd, Lakeland, FL 33805 (Physical)
EIN:
591300815

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