HERBERT R SLAVIN MD
Osteopathic Medicine at Commercial Blvd, Fort Lauderdale, FL

License number
Florida ME0036889
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: DR. HERBERT R SLAVIN MD
Title: OWNER
Phone: (954) 748-8155
Address
Address
7200 W Commercial Blvd SUITE 210, Fort Lauderdale, FL 33319
National Provider ID: 1386853455
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HERBERT R. SLAVIN, M.D., PA

6781 NW 45 Ct, Fort Lauderdale, FL 33319

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 19, 1982
Inactive since:
Sep 22, 2000
State ID:
F96124
Business type:
Florida Profit Corporation
Presidents:
Md Slavin, 6781 NW 45 Ct, Lauderhill, FL (Physical),Herbert R. Slavin President, inactive
Agent:
Herbert Slavin
EIN:
59-2218505

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