CAIO GONCALVES PA
Marriage and Family Therapists at 88 St, Miami, FL

License number
Florida ME97694
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: CAIO GONCALVES M.D.
Title: PRESIDENT
Phone: (305) 271-3131
Address
Address
11030 SW 88Th St STE 200, Miami, FL 33176
National Provider ID: 1023218450
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAIO GONCALVES, PA

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
AMENDMENT
Registration:
Mar 26, 2007
Inactive since:
Apr 9, 2007
Addresses:
11825 SW 80 Rd, Miami, FL 33156 (Physical)
12380 SW 124 Ter, Miami, FL 33186
11030 SW 88 St, Miami, FL 33176
7155 SW 110 Ter, Miami, FL 33156
State ID:
P07000038024
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretarys:
Caio Goncalves (President, Treasurer, Secretary, Director), 11825 SW 80 Rd, Miami, FL 33156 (Physical),Caio Goncalvis President, Treasurer, Director, Secretary, inactive
Agent:
Goncalves, Caio,11825 SW 80 Rd, Miami, FL 33156 (Physical)
EIN:
22-3956438

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