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Phoenix Healthcare LLC

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Company Details

Name: Phoenix Healthcare LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Withdrawn
Effective Date: 17 Jun 2016 (9 years ago)
Branch of: Phoenix Healthcare LLC, FLORIDA (Company Number L09000057707)
Business ID: 1095271
State of Incorporation: FLORIDA
Principal Office Address: 52 Riley Road, Suite 318Celebration, FL 34747

National Provider Identifier

NPI Number:
1962634337

Authorized Person:

Name:
MR. ROLAND B WALL III
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6019323398
Fax:
6012763179

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Date of last update: 04 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website