LYDIA V WALLACE
Osteopathic Medicine at 66 Ave, Hollywood, FL

License number
Florida 1492
Issued Date
May 19, 2006
Effective Date
Aug 3, 2016
Expiration Date
Jul 1, 2010
Category
Health Care
Type
Osteopathic Resident Registration
Address
Address 2
3021 N 66Th Ave, Hollywood, FL 33024
1801 NW 9Th Ave SUITE 470, Miami, FL 33136
Phone
(954) 965-2643
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about LYDIA V WALLACE at bizstanding.com

Lydia Valladares Wallace DO PA

Hollywood, FL  -  Pompano Beach, FL

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Doing business as:
Lydia V. Wallace DO PA
Registration:
Jul 2, 2009
Addresses:
3021 NW 66 Ave, Hollywood, FL 33024
5491 N University Dr, Pompano Beach, FL 33067
State ID:
P09000057078
Business type:
Domestic for Profit Corporation
President, Director:
Lydia Wallace President, Director, inactive

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