OASIS FAMILY PRACTICE
Ambulatory Health at 167 St, Miami, FL

License number
Florida ME 77284
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: GRACE ANN DWYER MD
Title: PHYSICIAN
Phone: (305) 934-0961
Address
Address
951 NE 167Th St SUITE 102, Miami, FL 33162
National Provider ID: 1700279114
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OASIS FAMILY PRACTICE at bizstanding.com

OASIS FAMILY PRACTICE, LLC

Miami, FL  -  Fort Lauderdale, FL

Status:
Inactive
Doing business as:
Oasis Family Practice
Inactive reason:
LC AMENDMENT
Registration:
Nov 10, 2014
Inactive since:
Nov 17, 2014
Phone:
(786) 565-9486 (Phone)
Addresses:
269 NE 165 St, Miami, FL 33162 (Physical)
1251 SW 70 Ave, Fort Lauderdale, FL 33317 (Mailing)
951 NE 167 St SUITE 102, North Miami Beach, FL 33162
State ID:
L14000174276
Business type:
Florida Limited Liability Company
Managers:
Arnold A Doyle (Manager), 1251 SW 70 Ave, Fort Lauderdale, FL 33317 (Physical),Grace A Dwyer (Manager), 1251 SW 70 Ave, Fort Lauderdale, FL 33317 (Physical)
Agent:
Dwyer, Grace A, Md,1251 SW 70 Ave, Fort Lauderdale, FL 33317 (Physical)
EIN:
47-2280280

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