1ST CLASS MEDICAL CENTERS OF 4 AVE INC
Ambulatory Health at 4 Ave, Hialeah, FL

License number
Florida HCC10171
Category
Ambulatory Health
Type
Health Service
Owner
Name: RUDY N DOMINGUEZ
Title: PRESIDENT
Phone: (786) 542-9051
Address
Address
1015-1025 E 4Th Ave, Hialeah, FL 33010
National Provider ID: 1922411347
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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1ST CLASS MEDICAL CENTERS OF 4 AVE, INC

1015 E 4 Ave, Hialeah, FL 33010

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
May 5, 2014
Inactive since:
Jan 5, 2015
State ID:
P14000040104
Business type:
Florida Profit Corporation
Presidents:
Julio Suarez (President), 1015 E 4 Ave, Hialeah, FL 33010 (Physical),Rudy N. Dominguez President, inactive
Agent:
Suarez, Julio,1015 E 4 Ave, Hialeah, FL 33010 (Physical)
EIN:
46-5619992

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