BRIAN C. MORAES D.O., P.A.
Ambulatory Health at Glades Rd, Boca Raton, FL

License number
Florida OS7601
Category
Ambulatory Health
Type
Primary Care
Owner
Name: BRIAN C MORAES DO
Title: OWNER
Phone: (561) 883-7770
Address
Address
9325 Glades Rd SUITE 107, Boca Raton, FL 33434
National Provider ID: 1932290749
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRIAN C. MORAES, D.O., PA

9325 Glades Rd SUITE 107, Boca Raton, FL 33434

Registration:
Jul 2, 2001
State ID:
P01000065303
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Brian C Moraes (President, Treasurer, Director, Secretary), 9325 Glades Rd #107, Boca Raton, FL 33434 (Physical)
Agent:
Howard Mofsen,5541 N University Dr SUITE 103, Pompano Beach, FL 33067 (Physical)
EIN:
651119102

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