L. MARISCAL, M.D., PA
Medical Practice at 112 St, Miami, FL

License number
Florida ME 95687
Category
Medical Practice
Type
Pediatrics
Owner
Name: LIUSKA MARISCAL MD
Title: OWNER
Phone: (786) 298-3854
Address
Address
12991 SW 112Th St, Miami, FL 33186
National Provider ID: 1073924981
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about L. MARISCAL, M.D., PA at bizstanding.com

L MARISCAL MD PA

15125 SW 148 Pl, Miami, FL 33196

Registration:
Apr 10, 2014
State ID:
P14000032722
Business type:
Florida Profit Corporation
S:
Liuska Mariscal, 15125 SW 148 Pl, Miami, FL 33196 (Physical),Leonel Y Ramirez Castillo, 15125 SW 148 Pl, Miami, FL 33196 (Physical)
Agent:
Liuska, Mariscal,15125 SW 148 Pl, Miami, FL 33196 (Physical)
FEI/EIN:
46-5441012

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