EDGAR A MARIN MD PA
Ambulatory Health at 42 St, Miami, FL

License number
Florida ME93016
Category
Ambulatory Health
Type
Primary Care
Owner
Name: EDGAR A MARIN MD
Title: PRESIDENT
Phone: (305) 220-0352
Address
Address
12813 SW 42Nd St, Miami, FL 33175
National Provider ID: 1750469060
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EDGAR A MARIN MD PA at bizstanding.com

EDGAR A MARIN MD. PA

1117 SW 150 Pl, Miami, FL 33194

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
AMENDMENT
Registration:
Aug 12, 2005
Inactive since:
Dec 22, 2005
State ID:
P05000112935
Business type:
Florida Profit Corporation
Director:
Edgar Amd Marin (Director), 1117 SW 150 Pl, Miami, FL 33194 (Physical)
Agent:
Edgar Marin,1117 SW 150 Pl, Miami, FL 33194 (Physical)
EIN:
20-3310230

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