GUILLERMO ABESADA-TERK JR MD PA
Osteopathic Medicine at Osceola St, Stuart, FL

License number
Florida ME58862
Category
Osteopathic Medicine
Type
Hematology & Oncology
Owner
Name: DR. GUILLERMO ABESADA-TERK JR. MD
Title: OWNER PRACTICE MD
Phone: (772) 223-5952
Address
Address
501 SE Osceola St SUITE 201, Stuart, FL 34994
National Provider ID: 1134195944
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUILLERMO ABESADA-TERK, JR. M.D., PA

501 E Osceola St SUITE 201, Stuart, FL 34994

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Jan 21, 1994
Inactive since:
Sep 26, 2014
State ID:
P94000005257
Business type:
Florida Profit Corporation
President, Treasurer, Director, Vice Presidents:
Christine M Abesada-Terk, 501 E Osceola St SUITE 201, Stuart, FL 34994 (Physical),Guillermo Abesada-Terk President, Treasurer, Director, Vice President, inactive, 501 E Osceloa St SUITE 201, Stuart, FL 34994 (Physical),Christine M. Abesada-Terk President, Treasurer, Director, Vice President, inactive
Agent:
Abesada-Terk, Guillermo,501 E Osceola St SUITE 201, Stuart, FL 34994 (Physical)
EIN:
65-0461041

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