DORILAS FOUNDATION CORPORATION
Osteopathic Medicine at 8 St, Fort Lauderdale, FL

License number
Florida 70734
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: FANUEL DORILAS MD
Title: PHYSICIAN
Phone: (954) 478-2041
Address
Address
3510 NW 8Th St, Fort Lauderdale, FL 33311
National Provider ID: 1114319902
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DORILAS FOUNDATION, CORPORATION

Ft Lauderdale, FL

Status:
Inactive
Industry:
Civic/Social Association
Inactive reason:
REINSTATEMENT
Registration:
Jul 11, 2007
Inactive since:
Oct 3, 2014
Addresses:
3510 NW 8 St, Ft Lauderdale, FL 33311 (Physical)
1400 NE 5 Ter, Ft Lauderdale, FL 33304
State ID:
P07000079241
Business type:
Florida Profit Corporation
Vice Presidents:
Fanuel Dorilas (President, Treasurer, Director, Secretary), 3510 NW 8 St, Ft Lauderdale, FL 33311 (Physical),Hull Dorilas (Vice President), 3510 NW 8 St, Ft Lauderdale, FL 33311 (Physical)
Agent:
Spiegel Utrera,1840 SW 22 St, Miami, FL 33145 (Physical)
EIN:
22-3966351

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