RAFAEL ANTUN MD PA
Urology at 14 St, Miami, FL

License number
Florida ME59386
Category
Radiology
Type
Urology
Owner
Name: DR. RAFAEL A ANTUN M.D.
Title: PRESIDENT
Phone: (305) 548-4005
Address
Address
1321 NW 14Th St STE 303, Miami, FL 33125
National Provider ID: 1336449289
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RAFAEL ANTUN MD PA at bizstanding.com

RAFAEL ANTUN, M.D., PA

1321 NW 14 St SUITE 303, Miami, FL 33125

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Aug 12, 1997
Inactive since:
Dec 2, 2013
State ID:
P97000069788
Business type:
Florida Profit Corporation
Treasurer, Secretarys:
Antun, Rafael, M.d, 9355 SW 93 Pl, Miami, FL 33176 (Physical),Jacqueline M Antun (Vice President), 9355 SW 93 Pl, Miami, FL 33176 (Physical),Monica M Landa (Vice President), 5843 SW 32, Miami, FL 33155 (Physical),...
EIN:
650773432

Rafael Antun MD PA

7600 S Red Rd, Miami, FL 33143

Status:
Inactive
Industry:
Medical Doctor's Office
Principal:
Rafael Antun Principal, inactive

Urology licenses in Florida










Other Doctors licenses in Florida