DR. ENRIQUE J VICIANA, MD
Medical Practice at Dadeland Blvd, Miami, FL

License number
Florida 0057841
Category
Medical Practice
Type
Specialist
Address
Address
9155 S Dadeland Blvd SUITE 1404, Miami, FL 33156
Phone
(305) 663-9933
(305) 671-2390 (Fax)
National Provider ID: 1265495956
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ENRIQUE J VICIANA at bizstanding.com

ENRIQUE J. VICIANA, M.D., PA

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 24, 1990
Inactive since:
Sep 26, 2008
Addresses:
9155 S Dadeland Blvd SUITE 1404, Miami, FL 33156 (Physical)
4206 Laguna St, Miami, FL 33146 (Mailing)
State ID:
S02231
Business type:
Florida Profit Corporation
Director:
Enrique J. Md Viciana Director, inactive, 9155 S Dadeland Blvd STE 1404, Miami, FL 33156 (Physical)
Agent:
Viciana, Enrique,4206 Laguna St, Miami, FL 33146 (Physical)
EIN:
650215665

Professional information

Enrique J Viciana Photo 1

Dr. Enrique J Viciana, Miami FL - MD (Doctor of Medicine)
Specialties:
Plastic Surgery, General Surgery
Address:
9155 S Dadeland Blvd STE 1404, Miami 33156
(305) 663-9933 (Phone), (305) 671-2390 (Fax)
Languages:
English
Education:
Medical School
University of Miami / School of Medicine
Graduated: 1984

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