MIAMI CENTER FOR CARDIOVASCULAR DISEASE, PLLC
Osteopathic Medicine at 12 Ave, Miami, FL

License number
Florida ME 82470
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: FRANCISCO JAVIER JIMENEZ-CARCAMO M.D.
Title: OWNER
Phone: (305) 325-9445
Address
Address
1400 NW 12Th Ave SUITE 1, Miami, FL 33136
National Provider ID: 1982630166
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MIAMI CENTER FOR CARDIOVASCULAR DISEASE, PLLC

Miami, FL

Status:
Inactive
Inactive reason:
LC AMENDMENT
Registration:
Jan 26, 2006
Inactive since:
Jun 19, 2006
Addresses:
6200 Sunset Dr SUITE 401, Miami, FL 33143 (Physical)
1400 NW 12 Ave, Miami, FL 33136
1643 Brickell Ave, Miami, FL 33129
State ID:
L06000009628
Business type:
Florida Limited Liability Company
Manager:
Javier Md Jimenez (Manager), 6200 Sunset Dr, Miami, FL 33143 (Physical)
Agent:
Javier Jimenez,6200 Sunset Dr SUITE 401, Miami, FL 33143 (Physical)
EIN:
20-4306501

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