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HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC

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Company Details

Legal Name: HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 22nd 2015
Expiration date: 30 Sep 2025
UBI Number: 603 543 933
Home State: FLORIDA
Principal Office Street Address: Google Maps Logo 5220 BELFORT RD STE 130, JACKSONVILLE, FL, 32256, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 551187, JACKSONVILLE, FL, 32255-1187, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $2,953

Contact Details

E-Mail: TAX@HEALOGICS.COM
Phone Number: +1 904-446-3729

Nature of Business

OTHER OUTPATIENT SERVICES

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role Address
DONALD COVINGTON Governing Person -
CHARLEEN ANN ISE MD EXECUTOR 1843 BAYOU GRANDE BLVD NE, ST PETERSBURG, FL, 33703, UNITED STATES

National Provider Identifier

NPI Number:
1134599897
Certification Date:
2020-03-03

Authorized Person:

Name:
CHARLEEN ISE
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2083P0011X - Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Is Primary:
Yes

Contacts:

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