LARA J FIX DO PA
Medical Practice at Ocean Blvd, Stuart, FL

License number
Florida OS9817
Category
Medical Practice
Type
Specialist
Owner
Name: MISS LARA FIX DO
Title: MGR
Phone: (772) 288-6300
Address
Address
931 SE Ocean Blvd, Stuart, FL 34994
National Provider ID: 1982880944
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LARA J FIX DO PA at bizstanding.com

LARA J. FIX DO, PA

Stuart, FL  -  Fort Lauderdale, FL

Status:
Inactive
Industry:
Osteopathic Physician's Office
Inactive reason:
REINSTATEMENT
Registration:
Aug 18, 2006
Inactive since:
Mar 25, 2013
Addresses:
931 SE Ocean Blvd SUITE A, Stuart, FL 34994 (Physical)
Stuart, FL 34995 (Mailing)
8050 Cleary Blvd, Fort Lauderdale, FL 33324
PO Box 2229, Stuart, FL 34995
State ID:
P06000109544
Business type:
Florida Profit Corporation
Directors:
Fix, Lara J, D.o, 931 SE Ocean Blvd #A, Stuart, FL 34995 (Physical),Lara Fix (Director)
EIN:
760836804

Medical Practice licenses in Florida










Other Doctors licenses in Florida