GURBACHAN PAL SONI M.D. PA.
Radiology at Federal Hwy, Golden Isles, FL

License number
Florida ME0034790
Category
Radiology
Type
Surgery
Owner
Name: DR. GURBACHAN PAL SONI M.D.
Title: PRESIDENT
Phone: (954) 458-5000
Address
Address 2
110 N Federal Hwy, Golden Isles, FL 33009
7301 Peppertree Cir S, Fort Lauderdale, FL 33314
National Provider ID: 1215206438
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GURBACHAN PAL SONI, M.D., PA

Golden Isles, FL  -  Fort Lauderdale, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Mar 10, 1982
Inactive since:
Feb 24, 1998
Addresses:
110 N Federal Hwy #302, Hallandale, FL 33009 (Physical)
7301 Peppertree Cir South 7301 Peppertree Cir S, Fort Lauderdale, FL 33314 (Mailing)
7301 Peppertree Cir S, Fort Lauderdale, FL 33314
State ID:
F70441
Business type:
Florida Profit Corporation
President, Director, Secretarys:
Soni M.d, 7301 Peppertree Cir S, Fort Lauderdale, FL 33314 (Physical),Gurbachan Pal M.d, 7301 Peppertree Cir S, Fort Lauderdale, FL 33314 (Physical),Soni Gurbachan Pal (President, Director, Secretary)
Agent:
Soni Gurbachan,7301 Peppertree Cir S, Fort Lauderdale, FL 33314 (Physical)
EIN:
59-2179652

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