MCJ MEDICAL CENTER CORP
Ambulatory Health at 79 Ave, Miami, FL

License number
Florida HCC5974
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MR. IGMAR CHANG
Title: OFFICE MANAGER
Phone: (305) 468-1714
Address
Address
3900 NW 79Th Ave SUITE 728, Miami, FL 33166
National Provider ID: 1225075575
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MCJ MEDICAL CENTER CORP at bizstanding.com

MCJ MEDICAL CENTER CORP

Miami, FL

Status:
Inactive
Doing business as:
McJ Medical Center
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 13, 2004
Inactive since:
Sep 28, 2012
Addresses:
3900 NW 79 Ave STE 728, Miami, FL 33166 (Physical)
6501 NW 36 St, Miami, FL 33166
State ID:
P04000009656
Business type:
Florida Profit Corporation
Presidents:
Osmar Gonzalez President, inactive, 4500 SW 67 Ave #21, Miami, FL 33155 (Physical),Igmar Chang Office Manager, Principal, President, inactive,Fordin Medical Service, Inc President, inactive
Agent:
Gonzalez, Osmar,4500 SW 67 Ave #21, Miami, FL 33155 (Physical)
EIN:
20-0605487

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