DOC'S MEDICAL CLINIC INC
Osteopathic Medicine at 17 Ave, Miami, FL

License number
Florida CH8828
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: ROBERTO TAPANES
Title: PRES
Phone: (305) 643-3847
Address
Address
515 SW 17Th Ave, Miami, FL 33135
National Provider ID: 1619904323
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOC'S MEDICAL CLINIC INC

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 19, 2005
Inactive since:
Sep 26, 2008
Addresses:
515 SW 17 Ave 2, Miami, FL 33135 (Physical)
515 SW 17 Ave, Miami, FL 33135
State ID:
P05000128625
Business type:
Florida Profit Corporation
Presidents:
Pablo Rodriguez President, inactive, 14707 Hiddin Trl Rd, Orlando, FL 32824 (Physical),Hector Sarmiento President, inactive
Agent:
Rodriguez, Pablo,3900 NW 79 Ave - SUITE #587, Miami, FL 33166 (Physical)
EIN:
05-0627431

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