PRIMARY CARE MEDICAL SERVICES
Medical Practice at Stirling Rd, Hollywood, FL

License number
Florida ME69293
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Florida ME79139
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. MARIE-ALICE LARA MD
Title: VICE PRESIDENTD
Phone: (954) 517-9166
Address
Address
10000 Stirling Rd SUITE 3, Hollywood, FL 33024
National Provider ID: 1750418299
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PRIMARY CARE MEDICAL SERVICES at bizstanding.com

PRIMARY CARE MEDICAL SERVICES, INC

Fort Lauderdale, FL  -  Hollywood, FL

Status:
Inactive
Doing business as:
Primary Care Medical Services
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Jun 18, 1998
Inactive since:
Apr 16, 2013
Addresses:
830 NW 115 Ave, Fort Lauderdale, FL 33325 (Physical)
PO Box 848127, Hollywood, FL 33084
8702 Blaze Ct, Fort Lauderdale, FL 33328
State ID:
P98000054987
Business type:
Florida Profit Corporation
President, Directors:
Md Lara, 8702 Blaze Ct, Fort Lauderdale, FL 33328 (Physical),Md Jean-Baptiste, 8702 Blaze Ct, Fort Lauderdale, FL 33328 (Physical),Marc H. Jean-Baptiste President, Secretary, Vice President, inactive,...
Agent:
Legagneur & Associates,19545 Sedgefield Ter, Boca Raton, FL 33498 (Physical)
EIN:
65-0840716

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