KALA MEDICAL, CORP.
Osteopathic Medicine at Bird Rd, Miami, FL

License number
Florida ME103920
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MR. ALEXANGEL SANTANA M.D.
Title: PRESIDENT
Phone: (305) 753-7028
Address
Address
11760 Bird Rd STE 622A, Miami, FL 33175
National Provider ID: 1053748517
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KALA MEDICAL, CORP. at bizstanding.com

KALA MEDICAL, CORP

Miami, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Jun 27, 2013
Inactive since:
Oct 8, 2013
Addresses:
11760 Bird Rd SUITE 622A, Miami, FL 33175 (Physical)
11760 SW 40 St, Miami, FL 33175
9200 SW 147 St, Miami, FL 33176
State ID:
P13000055362
Business type:
Florida Profit Corporation
Vice Presidents:
Alexangel Santana (President), 9200 SW 147 St, Miami, FL 33176 (Physical),Lisa Santana (Vice President), 9200 SW 147 St, Miami, FL 33176 (Physical)
Agent:
Santana, Alexangel,9200 SW 147 St, Miami, FL 33176 (Physical)
EIN:
46-3090667

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