EDUARDO KOFMAN MD PA
Osteopathic Medicine at Biscayne Blvd, Miami, FL

License number
Florida ME84340
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: EDUARDO KOFMAN MD
Title: PRESIDENT
Phone: (305) 892-3101
Address
Address
12550 Biscayne Blvd SUITE 600, Miami, FL 33181
National Provider ID: 1639344880
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDUARDO KOFMAN, MD, PA

12550 Biscayne Blvd SUITE 705, Miami, FL 33181

Status:
Inactive
Doing business as:
EDUARDO KOFMAN, M.D., PA
Inactive reason:
Domesticated
Registration:
Apr 29, 2010
Inactive since:
Apr 29, 2010
State ID:
P10000037356
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
Eduardo Kofman (President, Treasurer, Secretary), 12550 Biscayne Blvd SUITE 705, Miami, FL 33181 (Physical)
Agent:
Kofman, Eduardo,12550 Biscayne Blvd SUITE 705, Miami, FL 33181 (Physical)
EIN:
20-0603246

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