PHYSICIAN SPECIALTY GROUP INC
Medical Practice at 2 St, Miami, FL

License number
Florida ME 30093
Category
Medical Practice
Type
Ophthalmology
Owner
Name: JOSE ALLENDE
Title: OWNER
Phone: (305) 263-9050
Address
Address
7949 NW 2Nd St, Miami, FL 33126
National Provider ID: 1609820059
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIAN SPECIALTY GROUP, INC

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Registration:
Jun 9, 1994
Addresses:
7949 NW 2 St, Miami, FL 33126 (Physical)
1332 W Flagler St, Miami, FL 33135
State ID:
P94000043189
Business type:
Domestic for Profit Corporation
Vice Presidents:
Jose Allende (Director, President, Secretary, Treasurer), 7949 NW 2 St, Miami, FL 33126 (Physical),Amilcar Perez (Vice President), 7949 NW 2 St, Miami, FL 33126 (Physical),Larry Labarta President, Director, Vice President, inactive,...
Agent:
Piedra & Company Cpa, Pa

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