DUCARMEL AUGUSTIN MD PA
Osteopathic Medicine at State Road 7, Pompano Beach, FL

License number
Florida ME45717
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. DUCARMEL AUGUSTIN MD
Title: MD
Phone: (954) 971-0330
Address
Address
100 N State Road 7 SUITE 204, Pompano Beach, FL 33063
National Provider ID: 1730377276
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DUCARMEL AUGUSTIN, M.D., PA

Pompano Beach, FL

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Aug 11, 1988
Inactive since:
Apr 8, 1998
Addresses:
100 N State Rd 7 204, Pompano Beach, FL 33063 (Physical)
612 S State Rd 7, Pompano Beach, FL 33068
100 N State Rd 7, Pompano Beach, FL 33063
State ID:
M93953
Business type:
Florida Profit Corporation
President, Secretary, Vice President:
Ducarmel Augustin (President, Secretary, Vice President), 100 N.state Rd 7 SUITE 204, Pompano Beach, FL 33063 (Physical)
Agent:
Augustin, Ducarmel,100 N State Rd 7, Pompano Beach, FL 33063 (Physical)
EIN:
650068271

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