| Business Detail |
| Business Name |
TAMILLA ANN FORK |
|
Business Info |
PHYSICIAN W/ CLEVELAND |
| Business Address |
515 N FLAGLER DR # 800 |
|
|
CLINIC LIC # ME227789 |
| City/State |
WEST PALM BEACH, FL |
|
bus info3 |
|
| Zip Code |
33401 |
|
bus info4 |
|
| Phone Number |
(561) 832-2492 |
|
bus info5 |
|
| Owner |
FORK TAMMILLA ANN |
|
new comm bus? |
NO |
| Established |
2008-04-22 |
|
home bus? |
NO |
| Balance Due |
$0.00 |
|
|
9/17/09 RECD LTR |
|
|
|
renew cycle |
|
| Business Tax Receipt Information |
| Receipt Number |
Category |
Issued |
Expiration |
| 47294 | PHYSICIAN HEALTH CARE & SOCIAL SERVICE | 04/22/2008 | 09/30/2009 |
|
|
|
