ENRIQUE RUEDA PA
Nursing at Fontainebleau Blvd, Miami, FL

License number
Florida PA9101498
Category
Nursing
Type
Physician Assistant
License number
Florida PA9101498
Category
Nursing
Type
Medical
License number
Florida PA9101498
Category
Nursing
Type
Surgical
Owner
Name: ENRIQUE J RUEDA PA
Title: PA
Phone: (305) 554-1491
Address
Address
9409 Fontainebleau Blvd APT 101, Miami, FL 33172
National Provider ID: 1407973217
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ENRIQUE RUEDA PA at bizstanding.com

ENRIQUE RUEDA, PA

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 18, 2002
Inactive since:
Sep 28, 2012
Addresses:
9409 Fountainebleau Blvd APT 101, Miami, FL 33172 (Physical)
9409 Fontainebleau Blvd, Miami, FL 33172
State ID:
P02000029287
Business type:
Florida Profit Corporation
Director, Vice Presidents:
Enrique Rueda President, Director, inactive, 9409 Fountainebleau Blvd #101, Miami, FL 33172 (Physical),Carlos Em.d. Aguilar Director, Vice President, inactive, 9409 Fountainebleau Blvd #101, Miami, FL 33172 (Physical),Margarita Rueda Director, Vice President, inactive
Agent:
Rueda, Enrique,9409 Fountainebleau Blvd APT 101, Miami, FL 33172 (Physical)
EIN:
522374093

Enrique Rueda PA

8346 SW 8 St, Miami, FL 33144

Status:
Inactive
Industry:
Nonclassifiable Establishments

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