ELLEN ALDERMAN RPT, INC
Restorative Service Providers at 37 Ave, Miami, FL

License number
Florida PT 0003443
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: MARYANNE A. GOLDBERG
Title: OFFICE MANAGER
Phone: (305) 448-7101
Address
Address
2645 SW 37Th Ave SUITE 304, Miami, FL 33133
National Provider ID: 1255408852
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELLEN ALDERMAN, R.P.T., INC

Miami, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Doing business as:
Ellen Alderman Inc
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jun 25, 1987
Inactive since:
Oct 10, 2007
Addresses:
2645 SW 37 Ave #304, Miami, FL 33133 (Physical)
2801 Ponce De Leon Blvd, Miami, FL 33134
State ID:
M54524
Business type:
Florida Profit Corporation
Office Managers:
Adrienne Kowner Peters (Director), 2645 SW 37 Ave, Miami, FL 33133 (Physical),Maryanne A. Goldberg (Office Manager)
Agent:
Adrienne Peters,2645 SW 37 Ave, Miami, FL 33133 (Physical)
EIN:
592828779

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