GUILLERMO SOMODEVILLA MD PA
Ambulatory Health at Coral Way, Miami, FL

License number
Florida ME0049294
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. GUILLERMO SOMODEVILLA M.D.
Title: PRESIDENT
Phone: (305) 269-0385
Address
Address
7805 Coral Way #126, Miami, FL 33155
National Provider ID: 1679749998
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUILLERMO SOMODEVILLA M.D. PA

Miami, FL

Registration:
Jun 21, 1989
Addresses:
7805 Coral Way SUITE #126, Miami, FL 33155 (Physical)
6020 Bird Rd, Miami, FL 33155
State ID:
K97034
Business type:
Florida Profit Corporation
Directors:
Guillermo Somodevilla, 7805 Coral Way #126, Miami, FL 33155 (Physical),Guillermo M D Somodevilla (Director)
Agent:
Somodevilla, Guillermo, M.d,7805 Coral Way, Miami, FL 33155 (Physical)
EIN:
65-0136080

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