OSTEOPATHIC CENTER, LLC
Ambulatory Health at Biscayne Blvd, Miami, FL

License number
Florida OS10979
Category
Osteopathic Medicine
Type
Sports Medicine
License number
Florida 1037
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: KRISTOPHER SEAN GODDARD D.O.
Title: MGRM
Phone: (305) 367-1176
Address
Address
3915 Biscayne Blvd STE 406, Miami, FL 33137
National Provider ID: 1568883536
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OSTEOPATHIC CENTER, LLC at bizstanding.com

OSTEOPATHIC CENTER, LLC

Miami, FL  -  Fort Lauderdale, FL

Registration:
Dec 5, 2013
Addresses:
3915 Biscayne Blvd, Miami, FL 33137 (Physical)
4801 S University Dr, Fort Lauderdale, FL 33328
77 NE 24 St, Miami, FL 33137
State ID:
L13000168722
Business type:
Florida Limited Liability Company
Managing Members:
Jayne M Montross (Managing Member), 3915 Biscayne Blvd STE 406, Miami, FL 33137 (Physical),Goddard, Kristopher Js, Dr, 3915 Biscayne Blvd STE 406, Miami, FL 33137 (Physical),Kristopher S. Goddard (Managing Member)
Agent:
Beighley, Myrick & Udell, Pa,1255 W Atlantic Blvd, Pompano Beach, FL 33069 (Physical)
EIN:
46-4333029

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