DOCTORS OUTPATIENT SURGERY CENTER OF JUPITER, LLC
Ambulatory Health at Kyoto Gardens Dr, West Palm Beach, FL

License number
Florida 1172
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: JENETHA MORAN
Title: AUTHORIZED OFFICIAL
Phone: (972) 763-3893
Address
Address
3602 Kyoto Gardens Dr, West Palm Beach, FL 33410
National Provider ID: 1043303894
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Doctors Outpatient Surgery Center of Jupiter, LLC

3602 Kyoto Gdn Dr, West Palm Beach, FL 33410

Industry:
Medical Doctor's Office
Doing business as:
Laser & Surgery Ctr Palm Bch
Registration:
Aug 12, 1999
Phone:
(561) 799-3388 (Phone)
State ID:
L99000005027
Business type:
Florida Limited Liability
Managing Members:
Richard Weiner (Vice President),Evan G. Rosen (Vice President),Roberto J. Acosta (President),...

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