OUR GOLDEN MEDICAL CENTER
Suppliers at 42 St, Miami, FL

License number
Florida ME81667
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: DIRENDIA SHACKELFORD
Title: MANAGED CARE SPECIALIST
Phone: (800) 654-0889
Address
Address
12781 SW 42Nd St STE H, Miami, FL 33175
National Provider ID: 1447366208
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OUR GOLDEN MEDICAL CENTER at bizstanding.com

OUR GOLDEN MEDICAL CENTER, INC

Miami, FL

Status:
Inactive
Industry:
Medical Doctors Office, Offices and Clinics of Medical Doctors, N, Family Doctor
Doing business as:
Our Golden Medical Center
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 2, 2002
Inactive since:
Sep 25, 2009
Phone:
(305) 229-3990 (Phone)
Addresses:
12781 Bird Rd H, Miami, FL 33175 (Physical)
12781 SW 42 St, Miami, FL 33175
State ID:
P02000072167
Business type:
Florida Profit Corporation
Directors:
Mayra Castro Director, inactive, 12781 Bird Rd STE H, Miami, FL 33175 (Physical),Juan G Camayd Director, inactive, 12781 Bird Rd STE H, Miami, FL 33175 (Physical)
Agent:
Avelino Gonzalez,6780 Coral Way Law Ctr, Miami, FL 33155 (Physical)
EIN:
010730819

OUR GOLDEN MEDICAL CENTER, INC

Miami, FL

Status:
Inactive
Industry:
Medical Doctors Office, Offices and Clinics of Medical Doctors, N
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 2, 2002
Inactive since:
Sep 25, 2009
Phone:
(305) 229-3990 (Phone)
Addresses:
12781 Bird Rd H, Miami, FL 33175 (Physical)
12781 SW 42 St, Miami, FL 33175
State ID:
P02000072167
Business type:
Florida Profit Corporation
Directors:
Mayra Castro Director, inactive, 12781 Bird Rd STE H, Miami, FL 33175 (Physical),Juan G Camayd Director, inactive, 12781 Bird Rd STE H, Miami, FL 33175 (Physical)
Agent:
Avelino Gonzalez,6780 Coral Way Law Ctr, Miami, FL 33155 (Physical)
EIN:
010730819

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