NATALIO J CHEDIAK MD PA
Medical Practice at Glades Rd, Boca Raton, FL

License number
Florida ME45193
Category
Medical Practice
Type
Specialist
Owner
Name: NATALIO J CHEDIAK MD
Title: PHYSICIAN
Phone: (561) 750-9881
Address
Address
660 Glades Rd SUITE 220, Boca Raton, FL 33431
National Provider ID: 1053506790
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NATALIO J. CHEDIAK, M.D., PA

660 Glades Rd SUITE 220, Boca Raton, FL 33431

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Feb 12, 1992
Inactive since:
Oct 9, 2003
State ID:
V13359
Business type:
Florida Profit Corporation
Natalio Jmd Chediak
Agent:
Natalio Chediak
FEI/EIN:
65-0334755

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