CORAL REEF MEDICAL GROUP LLC
Osteopathic Medicine at Old Dixie Hwy, Homestead, FL

License number
Florida PA9103866
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida ARNP619302
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida ME57421
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MR. ROBERT BLANCO
Title: OWNER
Phone: (786) 243-0149
Address
Address
30334 Old Dixie Hwy, Homestead, FL 33033
National Provider ID: 1982870143
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CORAL REEF MEDICAL GROUP LLC at bizstanding.com

Coral Reef Medical Group, LLC

30334 Old Dixie Hwy, Homestead, FL 33033

Status:
Inactive
Doing business as:
Coral Reef Medical Group
Registration:
Oct 30, 2007
Phone:
(786) 243-0149 (Phone)
State ID:
L07000109665
Business type:
Florida Limited Liability
Managing Members:
Robert Blanco (Managing Member),Roberto Bermudez Managing Member, inactive
Categories:
Family & General Practice Physicians & Surgeons, Physicians & Surgeons

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