GUILLERMO L FONT MD PA
Marriage and Family Therapists at Lincoln Rd, Miami, FL

License number
Florida ME30077
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. GUILLERMO LUIS FONT MD
Title: PRESIDENT
Phone: (305) 532-9004
Address
Address
407 Lincoln Rd SUITE 4L, Miami, FL 33139
National Provider ID: 1104101963
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUILLERMO L. FONT, M.D., PA

Miami, FL

Status:
Inactive
Doing business as:
Guillermo L Font MD PA
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Oct 28, 1993
Inactive since:
Sep 28, 2012
Phone:
(305) 532-9004 (Phone)
Addresses:
407 Lincoln Rd 10-F, Miami Beach, FL 33139 (Physical)
407 Lincoln Rd, Miami, FL 33139
5828 Alton Rd, Miami, FL 33140
State ID:
P93000074926
Business type:
Florida Profit Corporation
Office Managers:
Guillermo L Font Medical Doctor, President, Director, inactive,Isela Font President, Director, Vice President, inactive,Lidia L. Torres Office Manager, inactive
Agent:
Guillermo Font
EIN:
65-0447391

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