OUR PLACE, LLC
Ambulatory Health at Ocean Dr, Pompano Beach, FL

License number
Florida 1706AD870001
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: DR. FERNANDO JIMENEZ M.D.
Title: MEDICAL DIRECTOR
Phone: (954) 427-8820
Address
Address
460 S Ocean Dr, Pompano Beach, FL 33441
National Provider ID: 1821366303
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OUR PLACE, LLC at bizstanding.com

OUR PLACE, LLC

Pompano Beach, FL

Industry:
Individual/Family Services, Nonclassifiable Establishments
Registration:
Mar 8, 2010
Addresses:
2301 W Sample Rd BLDG 4 STE 1B & 2B, Pompano Beach, FL 33073 (Physical)
2301 W Sample Rd BLDG 4 SUITE 1A, Pompano Beach, FL 33073 (Mailing)
460 S Ocean Dr, Pompano Beach, FL 33441
4699 N Federal Hwy, Pompano Beach, FL 33064
State ID:
L10000025906
Business type:
Florida Limited Liability Company
Managing Members:
Edmund K Lackner (Managing Member), 2301 W Sample Rd, Pompano Beach, FL 33073 (Physical),Kevin King (Treasurer), 2301 W Sample Rd, Pompano Beach, FL 33073 (Physical),Robert Bongard (Treasurer), 2301 W Sample Rd, Pompano Beach, FL 33073 (Physical),...
Agent:
Edmund Lackner,460 S Ocean Dr, Deerfield Beach, FL 33441 (Physical)
EIN:
800558700
Categories:
Addiction Information & Treatment

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