DIANA SOFIA GLACCUM-GAVAGNI, MD
Medical Practice at 74 Way, Hollywood, FL

License number
Florida 105239
Issued Date
Jul 31, 2009
Effective Date
Jan 27, 2015
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
4420 SW 74Th Way, Hollywood, FL 33314
6175 NW 153Rd St STE 404, Miami, FL 33014
Phone
(786) 521-1060
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about DIANA SOFIA GLACCUM-GAVAGNI at bizstanding.com

Diana Sofia Glaccum-Gavagni MD, PA

Miami, FL  -  Key Largo, FL

Registration:
Nov 2, 2009
Addresses:
419 NE 19 St, Miami, FL 33132
27 S Exuma Rd, Key Largo, FL 33037
3240 S Dixie Hwy, Miami, FL 33133
State ID:
P09000090432
Business type:
Domestic for Profit Corporation
Chairman, President, Treasurer, Secretarys:
Joseph Gavagni (Vice President, Secretary, Treasurer),Diana S. Glaccum-Gavagni (Chairman, President, Secretary),Diana S. Gavagni-Glaccum Chairman, President, Treasurer, Secretary, inactive

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