CYBERMED DIAGNOSTIC LAB
Ambulatory Health at 72 St, Miami, FL

License number
Florida HCC6120
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MR. HUMBERTO BORQUE
Title: PRESIDENT CEO
Phone: (305) 300-1641
Address
Address
9380 SW 72Nd St, Miami, FL 33173
National Provider ID: 1821081100
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CYBERMED DIAGNOSTIC LAB at bizstanding.com

CYBERMED DIAGNOSTIC LAB, INC

Miami, FL

Status:
Inactive
Industry:
Testing Laboratory, Medical Laboratory
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 20, 2002
Inactive since:
Sep 23, 2011
Addresses:
14871 SW 160, Miami, FL 33187 (Physical)
9380 SW 72 St, Miami, FL 33173
14871 SW 160 St, Miami, FL 33187
State ID:
P02000030590
Business type:
Florida Profit Corporation
Humberto Borque, 9380 SW 72 SUITE B-212, Miami, FL 33173 (Physical)
Agent:
Borque, Humberto,9380 SW 72 SUITE B-212, Miami, FL 33173 (Physical)
EIN:
043626842

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