PRIME PEDIATRIC ASSOCIATES, LLC
Medical Practice at Sample Rd, Pompano Beach, FL

License number
Florida ME109534
Category
Medical Practice
Type
Pediatrics
Owner
Name: DIBANNI VASQUEZ M.D.
Title: MGRM
Phone: (305) 972-1073
Address
Address
100 E Sample Rd STE 120, Pompano Beach, FL 33064
National Provider ID: 1023368164
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PRIME PEDIATRIC ASSOCIATES, LLC at bizstanding.com

Prime Pediatric Associates, LLC

100 E Sample Rd, Pompano Beach, FL 33064

Status:
Inactive
Registration:
Jul 29, 2011
State ID:
L11000087116
Business type:
Florida Limited Liability
Managing Members:
Divaco Pediatrics Pa Managing Member, inactive,Palm Springs Pediatric Associates, Pa Managing Member, inactive
Agent:
Dibanni M. Vasquez

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