EP MD PA
Marriage and Family Therapists at 10 Ave, Hialeah, FL

License number
Florida ME0063839
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. ESTILITA PASCUAL M.D.
Title: PRESIDENT
Phone: (305) 213-3238
Address
Address
4980 W 10Th Ave STE 101, Hialeah, FL 33012
National Provider ID: 1770902405
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EP MD PA

Hialeah, FL

Registration:
Dec 3, 2013
Addresses:
4980 W 10 Ave - STE 101, Hialeah, FL 33012 (Physical)
4980 W 10 Ave, Hialeah, FL 33012
State ID:
P13000096599
Business type:
Florida Profit Corporation
President, Treasurers:
Estelita Pascual, 6520 Miami Lakeway S, Hialeah, FL 33014 (Physical),Estilita Pascual (President, Treasurer)
Agent:
Angel Cordova,780 NW 42 Ave - STE 325, Miami, FL 33126 (Physical)
EIN:
46-4200936

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