EDGAR PATINO, M.D., P.A.
Psychiatric at Red Rd, Miami, FL

License number
Florida ME 41322
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. EDGAR PATINO MD
Title: PRESIDENT
Phone: (305) 669-7363
Address
Address
7600 S Red Rd SUITE 225, Miami, FL 33143
National Provider ID: 1629106968
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDGAR PATINO, M.D., PA

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Corporate Merger
Registration:
Jun 19, 1985
Inactive since:
Dec 23, 2009
Addresses:
7600 SW 57 Ave 225, Miami, FL 33143 (Physical)
7600 SW 57 Ave, Miami, FL 33143
State ID:
H62840
Business type:
Florida Profit Corporation
President, Director:
Edgar Patino (President, Director), 7600 SW 57 Ave, Miami, FL 33143 (Physical)
Agent:
Patino, Edgar,7600 SW 57 Ave, Miami, FL 33143 (Physical)
EIN:
59-2541864

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