DR EDGAR H NIETER PA
Podiatry at Atlantic Blvd, Pompano Beach, FL

License number
Florida PO2132
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. EDGAR H. NIETER DPM
Title: PRESIDENT
Phone: (954) 941-1200
Address
Address
1661 E Atlantic Blvd, Pompano Beach, FL 33060
National Provider ID: 1598829475
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. EDGAR H. NIETER, PA

1661 E Atlantic Blvd, Pompano Beach, FL 33060

Status:
Inactive
Inactive reason:
AMENDMENT AND NAME CHANGE
Registration:
Sep 29, 1972
Inactive since:
Dec 8, 2006
State ID:
603738
Business type:
Florida Profit Corporation
Director, Vice Presidents:
Edgar H Nieter (President, Treasurer, Secretary), 1661 E Atlantic Blvd, Pompano Beach, FL 33060 (Physical),David Ehrlich Director, Vice President, inactive
Agent:
Nieter, Edgar,1661 E Atlantic Blvd, Pompano Beach, FL 33060 (Physical)
EIN:
59-1414073

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