CORAL J VILLANUEVA DPM PA
Ambulatory Health at Kane Concourse, Miami, FL

License number
Florida PO3285
Category
Ambulatory Health
Type
Podiatric
Owner
Name: DR. CORAL J VILLANUEVA DPM
Title: PRESIDENT
Phone: (786) 859-3509
Address
Address
1090 Kane Concourse SUITE 204, Miami, FL 33154
National Provider ID: 1437336690
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Coral J. Villanueva, D.P.M., PA

Miami, FL  -  Boca Raton, FL

Status:
Inactive
Industry:
Business Services, Nec, Nsk, Nonclassifiable Establishments, Podiatrist's Office
Doing business as:
Coral J. Villanueva, D.P.M., P
Registration:
Sep 14, 2007
Addresses:
6540 NW 114 Ave, Miami, FL 33178
640 SW 18 St, Boca Raton, FL 33486
State ID:
P07000102642
Business type:
Domestic for Profit Corporation
Directors:
Coral Villanueva-Mart (Podiatrist, Principal),Coral J. Villanueva-Martinez President, Director, inactive,Coral J. Villanueva Director, inactive

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