GUILLERMO P GUBBINS MD PA
Osteopathic Medicine at Miami Ave, Miami, FL

License number
Florida 65439
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: GUILLERMO GUBBINS
Title: OFFICER
Phone: (305) 854-2621
Address
Address
3661 S Miami Ave, Miami, FL 33133
National Provider ID: 1700973153
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUILLERMO P. GUBBINS, M.D., PA

Miami, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Apr 11, 1997
Inactive since:
Sep 23, 2013
Addresses:
5000 University Dr 3370, Miami, FL 33146 (Physical)
5000 University Dr, Miami, FL 33146
3661 S Miami Ave, Miami, FL 33133
State ID:
P97000033098
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Guillermo P Gubbins President, Treasurer, Secretary, Director, inactive, 5000 University Dr STE 3370, Miami, FL 33146 (Physical)
Agent:
Guillermo Gubbins,5000 University Dr, Miami, FL 33146 (Physical)
EIN:
65-0743633

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