HECTOR S RODRIGUEZ MEDICAL GROUP INC
Osteopathic Medicine at 42 Ave, Miami, FL

License number
Florida ME66905
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. HECTOR S RODRIGUEZ M.D.
Title: OWNER/PRES
Phone: (305) 774-1234
Address
Address
951 SW 42Nd Ave STE 301, Miami, FL 33134
National Provider ID: 1609023670
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HECTOR S. RODRIGUEZ MEDICAL GROUP INC

Miami, FL  -  Hialeah, FL

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Mar 23, 1998
Inactive since:
Aug 29, 2013
Addresses:
951 SW 42 Ave SUITE 301, Miami, FL 33134 (Physical)
951 W 42 Pl, Hialeah, FL 33012
State ID:
P98000026613
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Directors:
Md Rodriguez, 951 SW 42 Ave SUITE 301, Miami, FL 33134 (Physical),Hector Rodriguez (President, Treasurer, Secretary, Director)
Agent:
Rodriguez, Hector S, Md,4237 SW 5, Miami, FL 33134 (Physical)
EIN:
65-0824807

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