ACADEMIC & CLINICAL INFECTIOUS DISEASES PA
Medical Practice in Miami, FL

License number
Florida 0455154
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JOSEPH C CHAN MD
Title: PRESIDENT
Phone: (305) 673-5490
Address
Address
4300 Alton Rd Greene Pavilion #450, Miami, FL 33140
National Provider ID: 1811926611
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ACADEMIC & CLINICAL INFECTIOUS DISEASES PA

Miami, FL

Status:
Inactive
Inactive reason:
Name Change Amendment
Registration:
Dec 16, 1974
Inactive since:
Sep 23, 2013
Addresses:
4300 Alton Rd Greene Pavilion #450, Miami Beach, FL 33140 (Physical)
4300 Alton Rd, Miami, FL 33140
450 4300 Alton Rd, Miami, FL 33109
State ID:
467900
Business type:
Florida Profit Corporation
President, Director, Secretarys:
Chan, Joseph C, Dr, 4300 Alton Rd, Miami Beach, FL 33140 (Physical),Joseph Cmd Chan (Treasurer, Director, Secretary, President), 4300 Alton Rd, Miami Beach, FL 33140 (Physical),Claudio Dmd Tuda (Vice President), 4300 Alton Rd, Miami Beach, FL 33140 (Physical),...
Agent:
Claudio Tuda,4300 Alton Rd, Miami Beach, FL 33140 (Physical)
EIN:
591568228

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