HOLLISTIC MEDICAL CENTER INC
Osteopathic Medicine at 167 St, Hialeah, FL

License number
Florida FLORIDA
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MS. DIANA PAZ
Title: PRESIDENT
Phone: (305) 821-6945
Address
Address
6065 NW 167Th St STE B12, Hialeah, FL 33015
National Provider ID: 1932348372
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOLLISTIC MEDICAL CENTER, INC

Hialeah, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 26, 2009
Inactive since:
Sep 28, 2012
Addresses:
6065 NW 167 B-12, Hialeah, FL 33015 (Physical)
6065 NW 167 St, Hialeah, FL 33015
State ID:
P09000007937
Business type:
Florida Profit Corporation
President:
Diana E Paz President, inactive, 144 W 59, Hialeah, FL 33012 (Physical)
Agent:
Diana Paz,144 W 59, Hialeah, FL 33012 (Physical)
EIN:
264115882

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