DR CARLOS GUERRA PA
Osteopathic Medicine at Dixie Hwy, Fort Lauderdale, FL

License number
Florida ME 103544
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: CARLOS O GUERRA M.D.
Title: OWNER
Phone: (954) 232-9539
Address
Address
5601 N Dixie Hwy #107, Fort Lauderdale, FL 33334
National Provider ID: 1720383060
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DR CARLOS GUERRA PA at bizstanding.com

DR CARLOS GUERRA, PA

6575 W Oakland Park Blvd #516, Fort Lauderdale, FL 33313

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 31, 2009
Inactive since:
Sep 28, 2012
State ID:
P09000073249
Business type:
Florida Profit Corporation
Director:
Carlos Guerra Director, inactive, 6575 W Oakland Park Blvd #516, Fort Lauderdale, FL 33313 (Physical)
Agent:
Barouh, Richard,10800 NW 5 St, Fort Lauderdale, FL 33324 (Physical)
EIN:
27-0803905

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