LIBERTAD A PALMA MD PA
Marriage and Family Therapists at Oakland Park Blvd, Fort Lauderdale, FL

License number
Florida ME0027611
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. LIBERTAD A PALMA M.D.
Title: MEDICAL DIRECTOR
Phone: (954) 748-6665
Address
Address
10028 W Oakland Park Blvd, Fort Lauderdale, FL 33351
National Provider ID: 1447324546
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LIBERTAD A. PALMA, M.D., PA

Fort Lauderdale, FL

Status:
Inactive
Industry:
Family Doctor
Doing business as:
Libertad Palma MD
Inactive reason:
Reinstatement
Registration:
Oct 21, 1977
Inactive since:
Jan 11, 1989
Phone:
(954) 748-6665 (Phone)
Addresses:
7200 W Commercial Blvd 201, Fort Lauderdale, FL 33319 (Physical)
7200 W Commercial Blvd, Fort Lauderdale, FL 33319
10028 W Oakland Park Blvd, Fort Lauderdale, FL 33351
State ID:
549808
Business type:
Florida Profit Corporation
Secretarys:
Libertad A. Palma (President, Director), 7200 W Commercial Blvd, Fort Lauderdale, FL 33319 (Physical),Josephine Lomanto (Secretary), 7200 W Commercial Blvd, Fort Lauderdale, FL 33319 (Physical),Rex Palma (Chairman, Secretary), 7200 W Commercial Blvd, Fort Lauderdale, FL 33319 (Physical),...
Agent:
Libertad Palma,7200 W Commercial Blvd, Fort Lauderdale, FL 33319 (Physical)
EIN:
591769708

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