AVENTURA ENDOCRINE ASSOCIATES PA
Medical Practice at 27 Ct, Miami, FL

License number
Florida ME58021
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ELTON TIMOTHY SHAPIRO MD
Title: PRESIDENT
Phone: (305) 937-3000
Address
Address
21097 NE 27Th Ct SUITE 300, Miami, FL 33180
National Provider ID: 1720001191
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AVENTURA ENDOCRINE ASSOCIATES, PA

Miami, FL

Status:
Inactive
Inactive reason:
Amendment And Name Change
Registration:
Dec 22, 1983
Inactive since:
Jul 27, 2004
Addresses:
21097 NE 27 Ct SUITE 300, Miami, FL 33180 (Physical)
201 S Biscayne Blvd, Miami, FL 33131
200 S Biscayne Blvd, Miami, FL 33131
State ID:
G80945
Business type:
Florida Profit Corporation
Chairman, Secretary, Vice Presidents:
Elton T Shapiro (President, Treasurer, Director), 21097 NE 27 Ct SUITE 300, Miami, FL 33180 (Physical),Leonard M Thaler (Chairman, Secretary, Vice President), 21097 NE 27 Ct SUITE 300, Miami, FL 33180 (Physical)
Agent:
Edward Robbins,800 SE 3 Ave SUITE 300, Fort Lauderdale, FL 33316 (Physical)
EIN:
59-2353380

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