| Business Detail |
| Business Name |
KEITH MULLENGER MD |
|
Business Info |
MEDICAL DR LIC # ME89087 |
| Business Address |
2450 E METROCENTRE BLVD |
|
|
W/IMAGING CENTER |
| City/State |
WEST PALM BEACH, FL |
|
bus info3 |
SEE NOTES |
| Zip Code |
33407 |
|
bus info4 |
|
| Phone Number |
(561) 684-9020 |
|
bus info5 |
|
| Owner |
MULLENGER KEITH |
|
new comm bus? |
YES |
| Established |
2011-09-21 |
|
home bus? |
|
| Balance Due |
$0.00 |
|
|
|
|
|
|
renew cycle |
|
| Business Tax Receipt Information |
| Receipt Number |
Category |
Issued |
Expiration |
| 55560 | PHYSICIAN HEALTH CARE & SOCIAL SERVICE | 09/28/2011 | 09/30/2012 |
|
|
|
