| Duns | 80255506 |
| Cage Code | 7MQ62 |
| Sam Extract Code | A |
| Purpose Of Registration | Z2 |
| Initial Registration Date | 2016-05-28 |
| Expiration Date | 2020-06-01 |
| Last Update Date | 2020-03-23 |
| Activation Date | 2019-04-03 |
| Legal Business Name | COLONNA PHYSICIAN SERVICES, LLC |
| Dba Name | HEALTHCARE |
| Physical Address Line 1 | 782 RIVER ROCK BLVD. |
| Physical Address City | APOPKA |
| Physical Address Province Or State | FL |
| Physical Address Zippostal Code | 32712 |
| Physical Address Zip Code 4 | 1746 |
| Physical Address Country Code | USA |
| Entity Congressional District | 10 |
| Business Start Date | 2015-07-13 |
| Fiscal Year End Close Date | 1231 |
| Entity Structure | 2L |
| State Of Incorporation | FL |
| Country Of Incorporation | USA |
| Business Type Counter | 4 |
| Business Type Varchar | 27~2X~A5~LJ |
| Primary Naics | 621111 |
| Naics Code Counter | 1 |
| Naics Code Varchar | 621111Y |
| Psc Code Counter | 1 |
| Psc Code Varchar | Q999 |
| Credit Card Usage | N |
| Mailing Address Line 1 | 782 RIVER ROCK BLVD. |
| Mailing Address City | APOPKA |
| Mailing Address Zippostal Code | 32712 |
| Mailing Address Zip Code 4 | 1746 |
| Mailing Address Country | USA |
| Mailing Address State Or Province | FL |
| Govt Bus Poc First Name | MICHAEL |
| Govt Bus Poc Last Name | COLONNA |
| Govt Bus Poc Title | DR. |
| Govt Bus Poc St Add 1 | 782 RIVER ROCK BLVD. |
| Govt Bus Poc City | APOPKA |
| Govt Bus Poc Zippostal Code | 32712 |
| Govt Bus Poc Country Code | USA |
| Govt Bus Poc State Or Province | FL |
| Govt Bus Poc Us Phone | 2147483647 |
| Govt Bus Poc Email | [email protected] |
| Elec Bus Poc First Name | MICHAEL |
| Elec Bus Poc Last Name | COLONNA |
| Elec Bus Poc Title | DR. |
| Elec Bus Poc St Add 1 | 782 RIVER ROCK BLVD. |
| Elec Bus Poc City | APOPKA |
| Elec Bus Poc Zippostal Code | 32712 |
| Elec Bus Poc Country Code | USA |
| Elec Bus Poc State Or Province | FL |
| Elec Bus Poc Us Phone | 2147483647 |
| Elec Bus Poc Email | [email protected] |
| Debt Subject To Offset Flag | N |
| Disaster Response Counter | 3 |
| Disaster Response Varchar | STAAZ~STAFL~STANM |
| End Of Record Indicator | !end |