PEMBROKE PAVILION PSYCHIATRIC ASSOCIATES, INC
Medical Practice at Hiatus Rd, Hollywood, FL

License number
Florida ME0025377
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ABRAHAM FLEMENBAUM MD
Title: PRESIDENT
Phone: (954) 431-9838
Address
Address
1000 N Hiatus Rd SUITE 140, Hollywood, FL 33026
National Provider ID: 1487962098
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEMBROKE PAVILION PSYCHIATRIC ASSOCIATES, INC

1000 N Hiatus Rd STE 140, Hollywood, FL 33026

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Nov 19, 1991
Inactive since:
Nov 15, 2006
State ID:
S94946
Business type:
Florida Profit Corporation
President:
A. M.d. Flemenbaum (President), 1000 N Hiatus Rd #160, Hollywood, FL 33026 (Physical)
Agent:
Abraham Flemenbaum,1000 N Hiatus Rd SUITE 140, Hollywood, FL 33026 (Physical)
EIN:
65-0310308

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