ENT ASSOCIATES OF BROWARD LLC
Medical Practice at Royal Palm Blvd, Pompano Beach, FL

License number
Florida OS10414
Category
Medical Practice
Type
Facial Plastic Surgery
Owner
Name: DR. MELANIE LYNN PENCE DO
Title: MEMEBER
Phone: (954) 755-8885
Address
Address
8130 Royal Palm Blvd SUITE 205, Pompano Beach, FL 33065
National Provider ID: 1730337098
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENT ASSOCIATES OF BROWARD LLC

Pompano Beach, FL

Status:
Inactive
Doing business as:
ENT ASSOCIATES OF SOUTH FLORIDA, LLC
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 6, 2008
Inactive since:
Sep 24, 2010
Addresses:
9311 W Sample Rd, Pompano Beach, FL 33065 (Physical)
8130 Royal Palm Blvd SUITE 205, Pompano Beach, FL 33065 (Physical)
State ID:
L08000075313
Business type:
Florida Limited Liability Company
S:
Melanie L Pence, 9311 W Sample Rd, Pompano Beach, FL 33065 (Physical),Nicholas R Groch, 9311 W Sample Rd, Pompano Beach, FL 33065 (Physical),Shawn P Sabga, 9311 W Sample Rd, Pompano Beach, FL 33065 (Physical),...
Agent:
Shawn Sabga,9311 W Sample Rd, Pompano Beach, FL 33065 (Physical)
EIN:
263114634

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