KWAME G BUAHIN, MD, PHD, PC
Medical Practice at 95 St, Miami, FL

License number
Florida ME80755
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: KWAME G BUAHIN MD, PHD
Title: PRESIDENT
Phone: (305) 693-8804
Address
Address
1190 NW 95Th St SUITE 403, Miami, FL 33150
National Provider ID: 1417136250
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KWAME G. BUAHIN, M.D., PH.D. PC

Miami, FL

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Dec 22, 2004
Inactive since:
May 9, 2014
Addresses:
1190 NW 95 St SUITE 403, Miami, FL 33150 (Physical)
Miami, FL 33269 (Mailing)
State ID:
P04000171148
Business type:
Florida Profit Corporation
Kwame G Buahin, 1190 NW 95 St SUITE 403, Miami, FL 33150 (Physical)
Agent:
Robert Payne,18244 SW 20 St SUITE 201, Hollywood, FL 33029 (Physical)
FEI/EIN:
202041911

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