DORAL MEDICAL CENTER INC
Ambulatory Health at 16 Ave, Hialeah, FL

License number
Florida HCC 6046
Category
Ambulatory Health
Type
Primary Care
Owner
Name: ANTONIO CANTOS
Title: PRESIDENT
Phone: (305) 512-0327
Address
Address
3750 W 16Th Ave STE 108, Hialeah, FL 33012
National Provider ID: 1447282900
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Doral Medical Center, Inc

Hialeah, FL  -  Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Aug 3, 2004
Inactive since:
Oct 27, 2006
Addresses:
3750 W 60 Ave, Hialeah, FL 33012
3625 NW 82 Ave, Miami, FL 33166
3750 W 16 Ave, Hialeah, FL 33012
State ID:
P04000113173
Business type:
Florida Profit Corporation
President, Director:
Antonio Cantos President, Director, inactive
Agent:
Cantos, Antonio,3785 NW 82 Ave - STE #117, Miami, FL 33166 (Physical)
EIN:
20-1448847
Categories:
Clinics

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