86 MEDICAL & REHAB CENTER INC
Ambulatory Health in Miami, FL

License number
Florida ME91436
Category
Ambulatory Health
Type
Health Service
Owner
Name: DR. LUIS MAS M.D.
Title: MEDICAL DIRECTOR
Phone: (786) 332-2721
Address
Address
8660 W. Flagler St. #102, Miami, FL 33144
National Provider ID: 1013267798
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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86 MEDICAL & REHAB CENTER INC

8660 W Flagler St SUITE 102, Miami, FL 33144

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Jun 21, 2012
Inactive since:
Dec 17, 2014
State ID:
P12000056414
Business type:
Florida Profit Corporation
Director, President:
Ivan Martinez Director, President, inactive, 8660 W Flagler St #102, Miami, FL 33144 (Physical)
Agent:
Martinez, Ivan,8660 W Flagler St SUITE 102, Miami, FL 33144 (Physical)
EIN:
45-5547550

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