MARA ELENA DE GARCIA MD PA
Marriage and Family Therapists at Washington Ave, Miami, FL

License number
Florida ME 34210
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MARA ELENA DE GARCIA MD
Title: PRESIDENT
Phone: (305) 531-4186
Address
Address
1562 Washington Ave, Miami, FL 33139
National Provider ID: 1790058253
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mara Elena De Garcia, M.D., PA

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Mara Elena De Garcia MD
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 22, 1984
Inactive since:
Sep 26, 2014
Phone:
(305) 531-4186 (Phone)
Addresses:
2015 SW 13 St, Miami, FL 33145
1562 Washington Ave, Miami, FL 33139
State ID:
G97239
Business type:
Florida Profit Corporation
President, Director:
Mara Elena De Garcia President, Director, inactive
Agent:
Mara Elena Garcia,2015 SW 13 St, Miami, FL 33145 (Physical)
EIN:
59-2392581

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