INFECTIOUS DISEASE ASSOCIATES OF THE PALM BEACHES INC
Osteopathic Medicine at Us Highway 1, West Palm Beach, FL

License number
Florida ME0064006
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: LESLIE ERLINDA DIAZ
Title: CEO
Phone: (561) 776-8300
Address
Address
840 Us Highway 1 STE 120, West Palm Beach, FL 33408
National Provider ID: 1609047323
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INFECTIOUS DISEASE ASSOCIATES OF THE PALM BEACHES, INC

West Palm Beach, FL

Status:
Inactive
Industry:
Physician In Infection Disease
Doing business as:
Infectious Disease Associates of the Palm Beaches
Inactive reason:
Amendment
Registration:
Feb 20, 1998
Inactive since:
Aug 27, 2014
Phone:
(561) 776-8300 (Phone)
Addresses:
840 Us Hwy 1 SUITE 120, North Palm Beach, FL 33408 (Physical)
840 Us Hwy #1 STE.120, North Palm Beach, FL 33408
PO Box 33025, West Palm Beach, FL 33420
State ID:
P98000016882
Business type:
Florida Profit Corporation
Nurse Practitioners:
Kathleen S Fisher (Secretary, Treasurer, Vice President, Director, President), 840 Us Hwy 1 SUITE 120, North Palm Beach, FL 33408 (Physical),Patricia Ann Whalen (Nurse),Gina Kinsey (Medical Assistant),...
Agent:
Kathleen Fisher,840 Us Hwy 1 SUITE 120, North Palm Beach, FL 33408 (Physical)
EIN:
650856170
Categories:
Medical Service Organizations

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