ADIB ANTOINE CHIDIAC, M.D., P.A.
Medical Practice at 36 St, Pompano Beach, FL

License number
Florida ME0043336
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ADIB ANTOINE CHIDIAC M.D.
Title: DOCTOR
Phone: (954) 781-0180
Address
Address
2100 NE 36Th St SUITE 201, Pompano Beach, FL 33064
National Provider ID: 1215057922
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADIB ANTOINE CHIDIAC M.D., PA

Pompano Beach, FL

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
May 14, 1984
Inactive since:
Dec 14, 2012
Addresses:
2100 E Sample Rd 201, Pompano Beach, FL 33064 (Physical)
2100 E Sample Rd, Pompano Beach, FL 33064
State ID:
M00536
Business type:
Florida Profit Corporation
Secretarys:
Adib Antoine Chidiac (President, Secretary, Director), 2100 E Sample Rd SUITE 201, Pompano Beach, FL 33064 (Physical),Rita Garulli-Chidiac (Secretary), 2100 E Sample Rd SUITE 201, Pompano Beach, FL 33064 (Physical)
Agent:
Adib Chidiac,2100 E Sample Rd SUITE 201, Pompano Beach, FL 33064 (Physical)
EIN:
592411629

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