PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC
Osteopathic Medicine at 27 Ave, Miami, FL

License number
Florida ME46299
Category
Osteopathic Medicine
Type
Adult Medicine
Owner
Name: DR. RAUL IGNACIO TANO M.D.
Title: PRESIDENT
Phone: (305) 649-3260
Address
Address
1455 SW 27Th Ave, Miami, FL 33145
National Provider ID: 1689807653
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA, LLC

Miami, FL

Industry:
Health and Allied Services, Nec, Nsk
Registration:
Jun 22, 2009
Addresses:
425 Woodcrest Rd, Key Biscayne, FL 33149 (Physical)
1455 SW 27 Ave, Miami, FL 33145
3661 S Miami Ave, Miami, FL 33133
State ID:
L09000060708
Business type:
Florida Limited Liability Company
Manager:
Raul Im.d. Tano (Manager), 425 Woodcrest Rd, Key Biscayne, FL 33149 (Physical)
Agent:
Lewis Thomas,2340 S Dixie Hwy, Miami, FL 33133 (Physical)
EIN:
80-0442215

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