ENRIQUE J HUERTAS JR MD PA
Osteopathic Medicine at 7 St, Miami, FL

License number
Florida ME 44902
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: ENRIQUE HUERTAS MD
Title: OWNER
Phone: (305) 649-4117
Address
Address
1831 NW 7Th St, Miami, FL 33125
National Provider ID: 1548534597
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENRIQUE J. HUERTAS, JR., M.D., PA

Miami, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Jul 18, 1988
Inactive since:
Apr 7, 1993
Addresses:
1831 NW 7, Miami, FL 33125 (Physical)
6816 Sunrise Dr, Miami, FL 33125 (Mailing)
1831 NW 7 St, Miami, FL 33125
State ID:
K28635
Business type:
Florida Profit Corporation
President:
Enrique J. Huertas (President), 6816 Sunrise Dr, Miami, FL 33133 (Physical)
Agent:
Huertas, Enrique J., Jr,6816 Sunrise Dr, Miami, FL 33133 (Physical)
EIN:
650066685

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