AGELESS MEDICINE ASSOCIATES INC
Osteopathic Medicine in Fort Lauderdale, FL

License number
Florida ME36889
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. HERBERT R SLAVIN M.D.
Title: OWNER
Phone: (954) 748-4991
Address
Address
7200 W Commercial Blvd Suite #210, Fort Lauderdale, FL 33319
National Provider ID: 1043513468
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AGELESS MEDICINE ASSOCIATES, INC

7200 W Commercial Blvd SUITE 210, Fort Lauderdale, FL 33319

Registration:
May 4, 2010
State ID:
P10000038668
Business type:
Florida Profit Corporation
President, Vice Presidents:
Slavin, Herbert R, Dr, 7200 W Commercial Blvd, Fort Lauderdale, FL 33319 (Physical),Herbert R. Slavin (President, Vice President)
Agent:
Andrea Wolfson,4491 S State Rd 7 SUITE 314, Fort Lauderdale, FL 33314 (Physical)
EIN:
26-3611501

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