MARTHA HERNANDEZ-ILLAS PA
Osteopathic Medicine at 114 Ave, Miami, FL

License number
Florida ME87694
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: MARTHA HERNANDEZ-ILLAS
Title: MEDICAL DOCTOR
Phone: (305) 251-3991
Address
Address
4005 NW 114Th Ave SUITE 3, Miami, FL 33178
National Provider ID: 1164674040
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MARTHA HERNANDEZ-ILLAS PA at bizstanding.com

Martha Hernandez-Illas, PA

Miami, FL

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Registration:
Apr 28, 2006
Addresses:
10873 NW 73 Ter, Miami, FL 33178
4005 NW 144 Ave, Miami, FL 33178
4005 NW 14 Ave, Miami, FL 33178
State ID:
P06000060748
Business type:
Domestic for Profit Corporation
S:
Martha Hernandez-Illas President, Treasurer, Secretary, inactive,Francois Illas inactive

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida