ERIK VAN GINKEL MD PA
Ambulatory Health at 62 Ave, Miami, FL

License number
Florida ME50166
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. ERIK VAN GINKEL MD
Title: PRESIDENT
Phone: (305) 284-7736
Address
Address
7000 SW 62Nd Ave SUITE 401, Miami, FL 33143
National Provider ID: 1295078780
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERIK VAN GINKEL MD PA

Miami, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Mar 6, 1995
Inactive since:
Nov 24, 2014
Addresses:
5975 Sunset Dr SUITE 703, Miami, FL 33143 (Physical)
7000 SW 62 Ave, Miami, FL 33143
PO Box 430130, Miami, FL 33243
PO Box 432010, Miami, FL 33243
State ID:
P95000018713
Business type:
Florida Profit Corporation
President, Director, Vice President:
Erik M.d. Ginkel (President, Director, Vice President), 5975 Sunset Dr, Miami, FL 33143 (Physical)
Agent:
Erik Ginkel,5975 Sunset Dr SUITE 703, Miami, FL 33143 (Physical)
EIN:
650573859

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