GENERAL HEALTHCARE OF PALM BEACH INC
Osteopathic Medicine at 79 Ave, Miami, FL

License number
Florida OS 9851
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: SONIA CABRERA ALONSO
Title: OWNER
Phone: (786) 717-6190
Address
Address
3900 NW 79Th Ave SUITE 704, Miami, FL 33166
National Provider ID: 1689932618
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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General Healthcare of Palm Beach Inc

West Palm Beach, FL  -  Miami, FL  -  Town of Loxahatchee Groves, FL

Inactive reason:
AMENDMENT
Registration:
Mar 9, 2012
Inactive since:
Feb 27, 2015
Addresses:
3472 Frst Hl Blvd, West Palm Beach, FL 33406
3900 NW 79 Ave, Miami, FL 33166
13005 Southern Blvd, Town of Loxahatchee Groves, FL 33470
State ID:
P12000023996
Business type:
Florida Profit Corporation
Secretary, Presidents:
Dayan Silva (Principal, Vice President),Ivan Bejerano (Secretary, President)
Agent:
Bejerano, Ivan,3900 NW 79 Ave SUITE # 704, Miami, FL 33166 (Physical)
EIN:
45-4745188

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