PABLO J ACEBAL MD PA
Managed Care Organizations at Bird Rd, Miami, FL

License number
Florida ME 69051
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. PABLO J ACEBAL MD PA
Title: NEUROSURGEON
Phone: (305) 273-3355
Address
Address
11760 Bird Rd, Miami, FL 33175
National Provider ID: 1336312982
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PABLO J. ACEBAL M.D., PA

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 19, 1996
Inactive since:
Sep 25, 2009
Addresses:
11760 SW 40 606, Miami, FL 33175 (Physical)
16471 SW 75 707-E, Miami, FL 33193 (Mailing)
16471 SW 75 St, Miami, FL 33193
11760 SW 40 St, Miami, FL 33175
8940 N Kendall Dr, Miami, FL 33176
State ID:
P96000024452
Business type:
Florida Profit Corporation
Director:
Pablo Jm.d. Acebal Director, inactive, 11760 SW 40 SUITE 606, Miami, FL 33175 (Physical)
Agent:
Pablo Acebal,11760 SW 40, Miami, FL 33175 (Physical)
EIN:
65-0654480

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