NILE R LESTRANGE MD PA
Medical Practice at Federal Hwy, Pompano Beach, FL

License number
Florida ME0012347
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: NILE R LESTRANGE MD
Title: PRESIDENT
Phone: (954) 788-9000
Address
Address
1600 S Federal Hwy FLOOR 10TH, Pompano Beach, FL 33062
National Provider ID: 1104122514
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NILE R. LESTRANGE, M.D., PA

Pompano Beach, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Reinstatement
Registration:
Aug 27, 1969
Inactive since:
Aug 7, 1984
Phone:
(954) 788-9000 (Phone)
Addresses:
1600 S Federal Hwy 10, Pompano Beach, FL 33062 (Physical)
1600 S Federal Hwy, Pompano Beach, FL 33062
State ID:
601327
Business type:
Florida Profit Corporation
President, Treasurer, Secretarys:
Lestrange, Nile R., M.d, 1600 S Federal Hwy 10, Pompano Beach, FL 33062 (Physical),Nile R. Lestrange (President, Treasurer, Secretary)
Agent:
Nile Lestrange,1600 S Federal Hwy, Pompano Beach, FL 33062 (Physical)
EIN:
59-1269793

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