PABALAN AND PESTANA MDS PA
Osteopathic Medicine at Sunset Dr, Miami, FL

License number
Florida ME36804
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: STEVEN S PABALAN M.D.
Title: PRESIDENT
Phone: (305) 665-6926
Address
Address
6280 Sunset Dr SUITE 611, Miami, FL 33143
National Provider ID: 1508990292
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PABALAN AND PESTANA, M.D.S, PA

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Feb 22, 2007
Inactive since:
Sep 26, 2014
Addresses:
6280 Sunset Dr SUITE 611, Miami, FL 33143 (Physical)
4601 University Dr, Miami, FL 33146
State ID:
P07000024258
Business type:
Florida Profit Corporation
Directors:
Steven S Pabalan Director, inactive, 4601 University Dr, Miami, FL 33146 (Physical),Rocio Pestana Director, inactive, 8933 SW 96, Miami, FL 33176 (Physical)
Agent:
Steven Pabalan
EIN:
20-8172638

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