PHYSICIAN OFFICES OF FLORIDA CITY
Medical Practice at Palm Dr, Homestead, FL

License number
Florida 0062068
Category
Medical Practice
Type
Adolescent Medicine
Owner
Name: IRA S WELLISCH
Title: VICE PRESIDENT
Phone: (305) 254-8875
Address
Address
646 WEST Palm Dr, Homestead, FL 33034
National Provider ID: 1578778627
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIAN OFFICES OF FLORIDA CITY, INC

Homestead, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
AMENDMENT
Registration:
Jun 27, 1994
Inactive since:
Aug 21, 2001
Phone:
(305) 242-0883 (Phone)
Addresses:
646 W Palm Dr, Homestead, FL 33034 (Physical)
Homestead, FL 33090 (Mailing)
PO Box 901290, Homestead, FL 33090
State ID:
P94000047788
Business type:
Florida Profit Corporation
Presidents:
Ira S Wellisch (Vice President), 646 W Palm Dr, Homestead, FL 33034 (Physical),Adam M. Stuart President, inactive
Agent:
Wellisch, Ira,646 W Palm Dr, Homestead, FL 33034 (Physical)
EIN:
65-0501090
Categories:
Clinics

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