AIDEN OROURKE MD PA
Radiology at 3 Ave, Fort Lauderdale, FL

License number
Florida ME44786
Category
Radiology
Type
Surgery
Owner
Name: DR. AIDEN OROURKE MD
Title: PHYSICIAN
Phone: (954) 525-7350
Address
Address
1625 SE 3Rd Ave, Fort Lauderdale, FL 33316
National Provider ID: 1821349747
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AIDEN O'ROURKE, M.D., PA

Fort Lauderdale, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 15, 2006
Inactive since:
Sep 26, 2014
Addresses:
1625 SE 3 Ave 723, Fort Lauderdale, FL 33316 (Physical)
1625 SE 3 Ave, Fort Lauderdale, FL 33316
State ID:
P06000038334
Business type:
Florida Profit Corporation
President, Director:
Aiden O'rourke President, Director, inactive, 1625 SE 3 Ave SUITE 723, Fort Lauderdale, FL 33316 (Physical)
Agent:
Rodriguez, Vicky,1625 SE 3 Ave, Fort Lauderdale, FL 33316 (Physical)
EIN:
061329728

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