RAFAEL GARCIA, M.D. ,M.O.,P.A.
Osteopathic Medicine at 8 Ave, Hialeah, FL

License number
Florida ME77010
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. RAFAEL GARCIA
Title: OWNER PHYSICIAN
Phone: (305) 603-9751
Address
Address
705 E 8Th Ave, Hialeah, FL 33010
National Provider ID: 1790091882
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAFAEL GARCIA, M.D., M.O., PA

Hialeah, FL  -  Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Eating Place
Doing business as:
Rafael Garcia MD
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 11, 2000
Inactive since:
Sep 26, 2014
Addresses:
705 E 8 Ave SUITE 101, Hialeah, FL 33010 (Physical)
3128 Coral Way, Miami, FL 33145
3400 Coral Way, Miami, FL 33145
State ID:
P00000066244
Business type:
Florida Profit Corporation
Secretary, Vice Presidents:
Rafael Garcia Principal, President, Treasurer, Secretary, Director, inactive, 705 E 8 Ave STE 101, Hialeah, FL 33010 (Physical),Flora Pazos Secretary, Vice President, inactive, 705 E 8 Ave STE 101, Hialeah, FL 33010 (Physical)
Agent:
Banos, Javier,3128 Coral Way, Miami, FL 33145 (Physical)
EIN:
651022845

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