WILLIAMSON, FERRARA, GALLAGHER, DEJESUS MD. PA
Medical Laboratory at Groveland St, Orlando, FL

License number
Florida 800025894
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. DOUGLAS W OAKLEY
Title: BUSINESS MANAGER
Phone: (407) 648-9151
Address
Address
308 Groveland St, Orlando, FL 32804
National Provider ID: 1376845123
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WILLIAMSON, FERRARA, GALLAGHER & DEJESUS, M.D., PA

110 W Underwood St STE A, Orlando, FL 32806

Status:
Inactive
Doing business as:
Williamson Ferrara Gallagher
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Mar 1, 1978
Inactive since:
Jul 7, 2004
Phone:
(407) 425-5927 (Phone)
State ID:
560947
Business type:
Florida Profit Corporation
Directors:
Gallagher, Joseph T, Dr, 110 W Underwood St, Orlando, FL 32806 (Physical),Williamson, Paul R, Dr, 110 W Underwood St, Orlando, FL 32806 (Physical),Ferrara, Andrea, Dr, 110 W Underwood St, Orlando, FL 32806 (Physical),...
EIN:
591805986

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