LOIS GOLD OTR PA
Restorative Service Providers in Miami, FL

License number
Florida OT 963
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: MRS. MARYANNE A. GOLDBERG
Title: OFFICE MANAGER
Phone: (305) 448-7101
Address
Address
2645 SW 37 Ave. #304, Miami, FL 33133
National Provider ID: 1528135134
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LOIS GOLD, O.T.R., PA

Miami, FL

Industry:
Health Practitioner's Office
Registration:
Jun 25, 1987
Addresses:
2645 SW 37 Ave SUITE 304, Miami, FL 33133 (Physical)
9555 N Kendall Dr, Miami, FL 33176
State ID:
M54531
Business type:
Florida Profit Corporation
Director:
Lois Gold (Director), 2645 SW 37 Ave, Miami, FL 33133 (Physical)
Agent:
Gold, Lois,10121 SW 57 Ct, Miami, FL 33156 (Physical)
EIN:
59-2829240

Lois Gold Otr PA

2801 Ponce De Leon Blvd, Miami, FL 33134

Industry:
Health Practitioner's Office
Principals:
Marion Bailey General Manager, Manager, inactive,William Bailey General Manager, Manager, inactive,Lianne P. Diaz Principal, inactive,...

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