EILEEN ROSEN, M.D., P.A.
Osteopathic Medicine at Valencia Dr, Delray Beach, FL

License number
Florida ME89329
Category
Osteopathic Medicine
Type
Independent Medical Examiner
Owner
Name: DR. EILEEN M ROSEN M.D.
Title: PRESIDENT
Phone: (561) 638-5451
Address
Address
2008 Valencia Dr, Delray Beach, FL 33445
National Provider ID: 1578766283
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EILEEN ROSEN M.D., PA

2008 Valencia Dr, Delray Beach, FL 33445

Status:
Inactive
Industry:
Medical Doctor's Office, Family Doctor
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 18, 2007
Inactive since:
Sep 26, 2008
State ID:
P07000070848
Business type:
Florida Profit Corporation
President, Secretary:
Eileen Mm.d. Rosen President, Secretary, inactive, 2008 Valencia Dr, Delray Beach, FL 33445 (Physical)
Agent:
Eileen Rosen,2008 Valencia Dr, Delray Beach, FL 33445 (Physical)
EIN:
NONE

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