DR. SAM, INC.
Mental Health at Dixie Hwy, Miami, FL

License number
Florida MH9101
Category
Mental Health
Type
Mental Health
Owner
Name: DR. SAMUEL LOPEZ DE VICTORIA PH.D.
Title: OWNER/DIRECTOR
Phone: (786) 299-7548
Address
Address
12651 S Dixie Hwy SUITE 327, Miami, FL 33156
National Provider ID: 1922424712
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DR. SAM, INC. at bizstanding.com

DR. SAM, INC

12651 S Dixie Hwy SUITE 327, Miami, FL 33156

Registration:
Jan 25, 2008
State ID:
P08000009444
Business type:
Florida Profit Corporation
Presidents:
Samuel A Lopez Victoria, 12651 S Dixie Hwy SUITE 327, Miami, FL 33156 (Physical),Samuel A Lopez De Victoria (President)
Agent:
Samuel Lopez Victoria,Pinecrest Town Ctr, Miami, FL 33156 (Physical)
EIN:
26-1866214

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