A. LILIA SMITH, PH.D., P.A.
Ambulatory Health at Venera Ave, Miami, FL

License number
Florida PSY 6608
Category
Ambulatory Health
Type
Adult Mental Health
License number
Florida PSY 6608
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: DR. ANA-LILIA SMITH PH.D.
Title: PRESIDENT
Phone: (305) 596-6399
Address
Address
1501 Venera Ave STE 225, Miami, FL 33146
National Provider ID: 1447484993
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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A. LILIA SMITH, PH.D., PA

1501 Venera Ave SUITE #225, Miami, FL 33146

Status:
Inactive
Inactive reason:
AMENDMENT AND NAME CHANGE
Registration:
Mar 4, 2003
Inactive since:
Apr 17, 2003
State ID:
P03000026236
Business type:
Florida Profit Corporation
President:
Ana Lilia Smith (President), 1501 Venera Ave SUITE #225A, Miami, FL 33146 (Physical)
Agent:
Ana Smith,1501 Venera Ave SUITE #225, Miami, FL 33146 (Physical)
EIN:
861051618

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