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.

Personal information

See more information about ENRIQUE J VICIANA at radaris.com
Name
Address
Phone
Enrique Viciana
11377 SW 84Th St APT 144, Miami, FL 33173
Enrique Viciana
2127 Brickell Ave APT 2301, Miami, FL 33129
Enrique Viciana
4206 Laguna St, Coral Gables, FL 33146
Enrique Viciana
Miami, FL
(305) 448-8569
Enrique Viciana
318 Velarde Ave, Coral Gables, FL 33134

Organization information

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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

See more information about ENRIQUE J VICIANA at trustoria.com
Enrique J Viciana Photo 1
Dr. Enrique J Viciana, Miami FL - MD (Doctor of Medicine)

Dr. Enrique J Viciana, Miami FL - MD (Doctor of Medicine)
Specialties:
Plastic Surgery, General Surgery
Address:
9155 S Dadeland Blvd SUITE 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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