VEIN ASSOCIATES, P.A.
Medical Practice at Lake Mary Blvd, Lake Mary, FL

License number
Florida ME38217
Category
Medical Practice
Type
Phlebology
Owner
Name: JOHN MAURIELLO MD
Title: MD
Phone: (407) 708-5818
Address
Address
4106 W Lake Mary Blvd SUITE 325, Lake Mary, FL 32746
National Provider ID: 1396921995
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VEIN ASSOCIATES, PA

Tampa, FL  -  Lake Mary, FL

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Dec 21, 2004
Inactive since:
Sep 26, 2008
Addresses:
2909 Bay To Bay Blvd SUITE 305, Tampa, FL 33629 (Physical)
400 International Pkwy SUITE 100, Lake Mary, FL 32746 (Mailing)
State ID:
P04000170278
Business type:
Florida Profit Corporation
Chairman, CFOs:
Robert Dc Theobald President, inactive, 400 International Pkwy SUITE 100, Lake Mary, FL 32746 (Physical),Andrew Schenker Chairman, CFO, inactive, 400 International Pkwy SUITE 100, Lake Mary, FL 32746 (Physical)
Agent:
Schenker, Andrew,400 International Pkwy SUITE 100, Lake Mary, FL 32746 (Physical)
EIN:
202030379

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