HUGH J CONNOLLY MD PA
Osteopathic Medicine at 152 St, Miami, FL

License number
Florida ME0014984
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. HUGH JOSEPH CONNOLLY M.D.
Title: PRESIDENT
Phone: (305) 251-3434
Address
Address
9000 SW 152Nd St SUITE 107, Miami, FL 33157
National Provider ID: 1205197597
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HUGH J. CONNOLLY, MD, PA

8135 SW 158 Ter, Miami, FL 33157

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jul 9, 2002
Inactive since:
Oct 27, 2003
State ID:
P02000074116
Business type:
Florida Profit Corporation
Principals:
Hugh Jmd Connolly (President, Director), 8135 SW 158 Ter, Miami, FL 33157 (Physical),John Glover (Principal)
Agent:
Hugh Connolly,8135 SW 158 Ter, Miami, FL 33157 (Physical)
EIN:
743051712

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