DAMIEN TAVARES MD, LLC
Ambulatory Health at Liliha St, Honolulu, HI

License number
Hawaii MD15987
Category
Ambulatory Health
Type
Pain
Owner
Name: DR. DAMIEN KEKANEINOA TAVARES III MD
Title: SOLE MEMBER
Phone: (808) 445-9172
Address
Address
2226 Liliha St SUITE 407, Honolulu, HI 96817
National Provider ID: 1598106247
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DAMIEN TAVARES MD, LLC at bizstanding.com

PAIN MEDICINE & REHABILITATION

2226 Liliha St STE 403, Honolulu, HI 96817

Status:
Inactive
Doing business as:
Damien Tavares MD, LLC<br>Pain Medicine & Rehabilitation
Registration:
Aug 8, 2013
Inactive since:
Aug 7, 2018
Site:
pmrhawaii.com
Phone:
(808) 445-9172 (Phone)
State ID:
104461 C5
Owner:
Damien Tavares Iii (Owner)
Agent:
Damien Tavares,2226 Liliha St SUITE 403, Honolulu, HI 96819 (Physical)
Canceled date:
3, 4120
Categories:
Pain Management Services, Health & Medical - General, Rehabilitation Services

Ambulatory Health licenses in Hawaii










Other Doctors licenses in Hawaii