JACQUELINE A NELSON-MANGATAL
Dentist at Via Leonardo, Lake Worth, FL

License number
Florida 16582
Issued Date
Dec 29, 2003
Effective Date
Dec 29, 2003
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental
Address
Address 2
7085 Via Leonardo, Lake Worth, FL 33467
4330 W Broward Blvd SUITE #M, Fort Lauderdale, FL 33317
Phone
(954) 791-1388
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Jacqueline Nelson

Fort Lauderdale, FL  -  Lake Worth, FL

Status:
Inactive
Industry:
Dentist's Office
Doing business as:
Jacqueline Nelson-Mangatal, D.D.S., PA
Registration:
May 5, 2004
Addresses:
4330 W Broward Blvd, Fort Lauderdale, FL 33317
7085 Via Leonardo, Lake Worth, FL 33467
State ID:
P04000075328
Business type:
Domestic for Profit Corporation
Directors:
J. Nelson (Principal),Jacqueline Nelson-Mangatal (Director)

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