PULMONARY PROVIDERS REHAB INC.
Medical Laboratory at 75 Ave, Miami, FL

License number
Florida RT5541 AND TN7986
Category
Medical Laboratory
Type
Physiological Laboratory
Owner
Name: MR. RAFAEL JORGE MENENDEZ
Title: DIRECTOR
Phone: (305) 266-4474
Address
Address
1352 SW 75Th Ave, Miami, FL 33144
National Provider ID: 1790011716
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PULMONARY PROVIDERS REHAB INC. at bizstanding.com

PULMONARY PROVIDERS REHAB INC

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 5, 2009
Inactive since:
Sep 24, 2010
Addresses:
9506 S Red Rd, Miami, FL 33156 (Physical)
9506 SW 57 Ave, Miami, FL 33156
State ID:
P09000000741
Business type:
Florida Profit Corporation
Principal, Directors:
Daniel Livshin (Vice-President),Rafael J Menendez Principal, Director, inactive, 1352 SW 75 Ave, Miami, FL 33144 (Physical)
Agent:
Douglas Oesterle,9506 S Red Rd, Miami, FL 33156 (Physical)
EIN:
NO-NE

Medical Laboratory licenses in Florida










Other Doctors licenses in Florida