KHOURI LABORATORIES, INC
Osteopathic Medicine in Miami, FL

License number
Florida 800013149
Category
Osteopathic Medicine
Type
Dermatopathology
Owner
Name: SUSANA LEAL-KHOURI MD
Title: DIRECTOR
Phone: (305) 361-5635
Address
Address
180 Crandon Blvd Ste #114, Miami, FL 33149
National Provider ID: 1518922004
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KHOURI LABORATORIES, INC

Miami, FL

Status:
Inactive
Industry:
Commercial Physical Research Medical Doctor's Office
Inactive reason:
REINSTATEMENT
Registration:
Oct 17, 1997
Inactive since:
Oct 26, 2010
Phone:
(305) 361-0633 (Phone)
Addresses:
580 Crandon Blvd STE 201A, Key Biscayne, FL 33149 (Physical)
180 Crandon Blvd, Miami, FL 33149
State ID:
P97000089392
Business type:
Florida Profit Corporation
Treasurers:
Susana L Khouri (Director), 580 Crandon Blvd STE 101, Key Biscayne, FL 33149 (Physical),Roger Khouri (Director), 580 Crandon Blvd STE 101, Key Biscayne, FL 33149 (Physical),Christina Garcia (Treasurer), 461 SW 25 Rd, Key Biscayne, FL 33149 (Physical)
Agent:
Leal Khouri,580 Crandon Blvd, Key Biscayne, FL 33149 (Physical)
EIN:
65-0810192

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