ENRIQUE HANABERGH JR., M.D., P.A.
Medical Practice at 27 Ct, Miami, FL

License number
Florida ME 104210
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: ENRIQUE HANABERGH JR. M.D.
Title: PRESIDENT/CEO
Phone: (305) 310-2799
Address
Address
21097 NE 27Th Ct SUITE 210, Miami, FL 33180
National Provider ID: 1316225030
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENRIQUE HANABERGH JR., M.D., PA

Miami, FL

Doing business as:
Enrique Hanabergh Jr MD Pa
Registration:
Jul 26, 2011
Phone:
(786) 320-6842 (Phone)
Addresses:
20950 NE 27 Ct, Miami, FL 33180 (Physical)
21097 NE 27 Ct, Miami, FL 33180
State ID:
P11000067409
Business type:
Florida Profit Corporation
President, Secretarys:
Hanabergh, Enrique, Jr, 20950 NE 27 Ct, Miami, FL 33180 (Physical),Enrique J. Hanabergh (President, Secretary)
Agent:
The Law Offices Of Max A. Adams,2100 Ponce De Leon Blvd SUITE 1000, Miami, FL 33134 (Physical)
EIN:
452809523

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