IVAN BEREND MD PA
Osteopathic Medicine at 27 Ct, Miami, FL

License number
Florida ME79620
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: IVAN A BEREND MD
Title: PRESIDENT
Phone: (305) 538-8660
Address
Address
21097 NE 27Th Ct SUITE 320, Miami, FL 33180
National Provider ID: 1144335472
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IVAN BEREND M.D. PA

Miami, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
May 9, 2003
Inactive since:
Apr 14, 2010
Addresses:
945 41 STE 408, Miami Beach, FL 33140 (Physical)
10155.Collins Ave #1809, Miami Beach, FL 33154 (Mailing)
945 Arthur Godfrey Rd, Miami, FL 33140
10155 Collins Ave, Miami, FL 33154
State ID:
P03000051670
Business type:
Florida Profit Corporation
President, Director:
Ivan Berend President, Director, inactive, 10155 Collins Ave APT 507, Miami Beach, FL 33154 (Physical)
Agent:
Robert Roth,8370 W Flagler St STE 125, Miami, FL 33144 (Physical)
EIN:
90-0077064

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