NESTOR DE LA CRUZ-MUNOZ, MD, PA
Radiology at 82 Ave, Miami, FL

License number
Florida ME71258
Category
Radiology
Type
Surgery
Owner
Name: DR. NESTOR F DE LA CRUZ-MUNOZ JR. M.D.
Title: PRESIDENT
Phone: (305) 856-4385
Address
Address
3650 NW 82Nd Ave SUITE 302, Miami, FL 33166
National Provider ID: 1366622474
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NESTOR DE LA CRUZ-MUNOZ, M.D., PA

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Voluntary Dissolution
Registration:
Apr 11, 2002
Inactive since:
Mar 7, 2014
Addresses:
3650 NW 82 Ave 302, Miami, FL 33166 (Physical)
3650 NW 82 Ave, Miami, FL 33166
3659 S Miami Ave, Miami, FL 33133
State ID:
P02000039502
Business type:
Florida Profit Corporation
Medical Doctor, Presidents:
Delacruz-Munoz, Nestor F, Jr, 3650 NW 82 Ave SUITE 302, Miami, FL 33166 (Physical),Nestor Cruz-Munoz Director, inactive,De La Cruz-Munoz Nestor Director, inactive,...
EIN:
04-3639697

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