ISMARY CHACON, PA-C
Medical Practice at 167 St, Miami, FL

License number
Florida PA9107555
Category
Nursing
Type
Medical
Address
Address 2
301 NE 167Th St, Miami, FL 33162
1558 NW 159Th Ave, Hollywood, FL 33028
Phone
(305) 940-0522
(305) 653-1138 (Fax)
National Provider ID: 1942626155
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about ISMARY CHACON at radaris.com
Name
Address
Phone
Ismary Chacon
9931 SW 213Th St, Miami, FL 33189
(305) 259-8186
Ismary Chacon, age 47
10030 212Th St, Miami, FL 33189
(305) 259-8186
Ismary C Chacon, age 47
1558 159Th Ave, Hollywood, FL 33028
(954) 443-7571
Ismary Chacon, age 47
3640 56Th Ave, Hollywood, FL 33021
Ismary Chacon, age 45
7231 Garfield St, Hollywood, FL 33024

Organization information

See more information about ISMARY CHACON at bizstanding.com

ISMARY CHACON PA

1558 NW 159 Ave, Hollywood, FL 33028

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Oct 27, 2004
Inactive since:
Sep 26, 2008
State ID:
P04000147928
Business type:
Florida Profit Corporation
President:
Ismary Chacon President, inactive, 1558 NW 159 Ave, Hollywood, FL 33028 (Physical)
Agent:
Chacon, Ismary,1558 NW 159 Ave, Hollywood, FL 33028 (Physical)
EIN:
20-1808095

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