FEDERICO DUMENIGO, MD, PA
Osteopathic Medicine at 13 Ave, Miami, FL

License number
Florida E14379
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. FEDERICO DUMENIGO MD, PA.
Title: OWNER
Phone: (305) 631-0470
Address
Address
78 SW 13Th Ave SUITE 201, Miami, FL 33135
National Provider ID: 1285875625
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FEDERICO DUMENIGO M.D. PA

1325 SW 1 St, Miami, FL 33135

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 4, 2008
Inactive since:
Aug 13, 1993
State ID:
V03241
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
Federico Md Dumenigo President, Treasurer, Secretary, inactive, 4521 SW 64 Ave, Miami, FL 33155 (Physical)
Agent:
Dumenigo, Federico,5539 SW 8 SUITE 300, Miami, FL 33134 (Physical)
EIN:
00-0000000

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