NOEL S TENENBAUM MD PA
Medical Practice at Alt 19, Palm Harbor, FL

License number
Florida ME64981
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: NOEL S TENENBAUM
Title: OWNER
Phone: (727) 786-6921
Address
Address
220 Alt 19, Palm Harbor, FL 34683
National Provider ID: 1104155977
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NOEL S. TENENBAUM, M.D., PA

220 Alternate 19 N, Palm Harbor, FL 34683

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Jun 16, 1994
Inactive since:
May 4, 2015
State ID:
P94000045004
Business type:
Florida Profit Corporation
President, Director:
Noel Smd Tenenbaum President, Director, inactive
Agent:
Noel Sm Tenenbaum
EIN:
593253306

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