EMILIO B TORRES PROFESSIONAL ASSOCIATION
Medical Practice at Medical Park Blvd, West Palm Beach, FL

License number
Florida ME83642
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: MISS IRINA Y CHANG
Title: RECEPTIONIST
Phone: (561) 204-1449
Address
Address
1397 Medical Park Blvd SUITE 200, West Palm Beach, FL 33414
National Provider ID: 1922275239
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EMILIO B. TORRES PROFESSIONAL ASSOCIATION

West Palm Beach, FL

Registration:
Nov 13, 2001
Addresses:
1447 Medical Park Blvd SUITE 202, West Palm Beach, FL 33414 (Physical)
584 Glenfield Way, West Palm Beach, FL 33411 (Mailing)
1397 Medical Park Blvd, West Palm Beach, FL 33414
State ID:
P01000108732
Business type:
Florida Profit Corporation
Director:
Emilio B Torres (Director), 584 Glenfield Way, West Palm Beach, FL 33411 (Physical)
Agent:
Emilio Torres Md Pa,1447 Medical Park Blvd SUITE 202, West Palm Beach, FL 33414 (Physical)
EIN:
651152098

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