DR. RAQUEL KS MONCRIEFFE & ASSOC., INC.
Optometry at University Dr, Fort Lauderdale, FL

License number
Florida OPC3494
Category
Optometry
Type
Optometrist
Owner
Name: DR. RAQUEL KS MONCRIEFFE O.D.
Title: OWNER
Phone: (954) 742-4424
Address
Address
5251 N University Dr, Fort Lauderdale, FL 33351
National Provider ID: 1023249844
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. RAQUEL KS MONCRIEFFE & ASSOC., INC

5251 N University Dr, Fort Lauderdale, FL 33351

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 26, 2002
Inactive since:
Sep 28, 2012
State ID:
P02000104302
Business type:
Florida Profit Corporation
Od, Principal, Director:
Raquel Moncrieffe Od, Principal, Director, inactive, 5251 N University Dr, Fort Lauderdale, FL 33351 (Physical)
EIN:
51-0428213

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