KOOL KIDZ PEDIATRICS
Ambulatory Health at 172 Ave, Hollywood, FL

License number
Florida ME73747
Category
Ambulatory Health
Type
Primary Care
Owner
Name: VALIA MORENO
Title: OFFICE MANAGER
Phone: (954) 433-1966
Address
Address
1951 SW 172Nd Ave SUITE 410, Hollywood, FL 33029
National Provider ID: 1184884918
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KOOL KIDZ PEDIATRICS at bizstanding.com

KOOL KIDZ PEDIATRICS, PA

Hollywood, FL  -  Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Dec 6, 2004
Inactive since:
Sep 28, 2012
Addresses:
3220 S Douglas Rd SUITE B, Hollywood, FL 33025 (Physical)
9734 SW 133 Ct, Miami, FL 33186
State ID:
P04000164039
Business type:
Florida Profit Corporation
Manager, Managing Members:
Joseph Rufus President, Director, Secretary, inactive, 4911 SW 205 Ave, Fort Lauderdale, FL 33332 (Physical),Jassett Maragh President, Director, Secretary, inactive,Kidd-Y-Atrics, Pllc Manager, Managing Member, inactive
Agent:
Hatton, David,150 Alhambra Cir SUITE 1150, Miami, FL 33134 (Physical)
EIN:
202186468

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