EXCELLENT HEALTH SERVICES CORP
Ambulatory Health at 1 St, Miami, FL

License number
Florida HCC7112
Category
Ambulatory Health
Type
Health Service
Owner
Name: MARISEL CHAVIANO
Title: PRESIDENT
Phone: (305) 801-1483
Address
Address
1800 SW 1St St SUITE 312, Miami, FL 33135
National Provider ID: 1265465892
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EXCELLENT HEALTH SERVICES, CORP

Miami, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Dec 13, 2005
Inactive since:
Feb 8, 2008
Addresses:
7231 S.w 24 St, Miami, FL 33155 (Physical)
1800 SW 1 St, Miami, FL 33135
3011 W Flagler St, Miami, FL 33135
State ID:
P05000162606
Business type:
Florida Profit Corporation
Vice Presidents:
Antonio Leon (Vice President), 7231 S.w 24 St, Miami, FL 33155 (Physical),Marisel Chaviano (President),Marilyn Costa Director, Secretary, inactive,...
Agent:
Leon, Antonio,7231 S.w 24 St, Miami, FL 33155 (Physical)
EIN:
203936404

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