ENDOCRINOLOGY MIAMI, PA
Osteopathic Medicine at 162 Ave, Miami, FL

License number
Florida OS 10173
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: DR. MARISABEL BRAVO D.O.
Title: PRESIDENT
Phone: (786) 571-7603
Address
Address
9555 SW 162Nd Ave, Miami, FL 33196
National Provider ID: 1336550573
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENDOCRINOLOGY MIAMI, PA

Miami, FL

Registration:
May 1, 2014
Addresses:
1200 Brickell Ave 860, Miami, FL 33131 (Physical)
Miami, FL 33245 (Mailing)
1200 Brickell Ave, Miami, FL 33131
PO Box 452951, Miami, FL 33245
State ID:
P14000039242
Business type:
Florida Profit Corporation
Director, President, Secretary:
Marisabel Bravo (Director, President, Secretary), 2516 SW 20 St, Miami, FL 33145 (Physical)
Agent:
Robert Rogers Law Firm, Pa,1200 Brickell Ave, Miami, FL 33131 (Physical)
EIN:
46-5575264

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