MICHAEL A FLICKER DO PA
Marriage and Family Therapists in Fort Lauderdale, FL

License number
Florida OS5264
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MICHAEL A FLICKER DO
Title: PRESIDENT
Phone: (954) 835-0005
Address
Address
9633 W Broward Blvd Suite #6, Fort Lauderdale, FL 33324
National Provider ID: 1184709016
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL A. FLICKER, D.O., PA

Ft Lauderdale, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 28, 1989
Inactive since:
Sep 26, 1997
Addresses:
13664 Sr 84, Ft Lauderdale, FL 33325 (Physical)
13664 W State Rd 84, Ft Lauderdale, FL 33325
State ID:
K76080
Business type:
Florida Profit Corporation
President:
Michael A. Flicker President, inactive
Agent:
Barney Avchen,226 Palm Spg Ctr, Hialeah, FL 33012 (Physical)
EIN:
65-0114919

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