PETER L BABINSKI MD PA
Medical Practice at Broward Blvd, Fort Lauderdale, FL

License number
Florida ME36538
Category
Medical Practice
Type
Specialist
Owner
Name: DR. PETER L BABINSKI M.D., PH.D.
Title: PRESIDENT
Phone: (954) 463-5406
Address
Address
800 E Broward Blvd SUITE 103, Fort Lauderdale, FL 33301
National Provider ID: 1780964460
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PETER L BABINSKI MD PA at bizstanding.com

PETER L. BABINSKI, M.D., PA

Fort Lauderdale, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jan 3, 2001
Inactive since:
Nov 3, 2004
Addresses:
800 E Broward Blvd 103, Fort Lauderdale, FL 33301 (Physical)
800 E Broward Blvd, Fort Lauderdale, FL 33301
State ID:
P01000001263
Business type:
Florida Profit Corporation
Director:
Peter Lm.d. Babinski (Director), 800 E Broward Blvd #103, Fort Lauderdale, FL 33301 (Physical)
Agent:
Peter Babinski,800 E Broward Blvd, Fort Lauderdale, FL 33301 (Physical)
EIN:
65-1065290

Medical Practice licenses in Florida










Other Doctors licenses in Florida