IVAN PATINO
Physician Assistant at 122 Path, Miami, FL

License number
Florida 9102100
Issued Date
Aug 15, 2002
Effective Date
Aug 15, 2002
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address
12364 SW 122Nd Path, Miami, FL 33186
Phone
(305) 926-3133
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about IVAN PATINO at bizstanding.com

IVAN PATINO PA-C, PA

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 20, 2004
Inactive since:
Sep 16, 2005
Addresses:
12300 SW 123 Psge, Miami, FL 33186 (Physical)
12300 SW 123 Pass, Miami, FL 33186
State ID:
P04000014876
Business type:
Florida Profit Corporation
President:
Ivan Patino President, inactive, 12300 SW 123 Psge, Miami, FL 33186 (Physical)
Agent:
Patino, Ivan,12300 SW 123 Psge, Miami, FL 33186 (Physical)
EIN:
NO-NE

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