GOAL PSYCHIATRIC ASSOCIATES, LLC
Psychiatric at Weston Rd, Fort Lauderdale, FL

License number
Florida ME97741
Category
Psychiatric
Type
Psychiatry
License number
Florida ME97741
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: DR. EDWIN A GOMEZ MD
Title: OWNER
Phone: (954) 766-4702
Address
Address
1040 Weston Rd SUITE 210, Fort Lauderdale, FL 33326
National Provider ID: 1427338680
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GOAL PSYCHIATRIC ASSOCIATES, LLC

1040 Weston Rd STE 210, Fort Lauderdale, FL 33326

Doing business as:
Goal Psychiatric Associate LLC
Inactive reason:
Conversion
Registration:
Jul 14, 2011
Inactive since:
Jul 14, 2011
Phone:
(954) 766-4472 (Phone)
State ID:
L11000081523
Business type:
Florida Limited Liability Company
Managing Member:
Edwin Amd Gomez (Managing Member), 1040 Weston Rd, Fort Lauderdale, FL 33326 (Physical)
Agent:
Edwin Gomez,1040 Weston Rd, Fort Lauderdale, FL 33326 (Physical)
EIN:
45-2915415
Categories:
Management Consultants

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