MR. RAFAEL HERNANDEZ
Osteopathic Medicine at Us Highway 1, Fort Pierce, FL

License number
Florida ME83014
Category
Osteopathic Medicine
Type
Addiction Medicine
Address
Address
10570 S Us Highway 1 SUITE 102, Fort Pierce, FL 34952
Phone
(772) 828-6992
National Provider ID: 1417407958
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RAFAEL HERNANDEZ at bizstanding.com

RAFAEL HERNANDEZ, INC

2608 Rolyat St, Fort Pierce, FL 34954

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 28, 2001
Inactive since:
Oct 4, 2002
State ID:
P01000031683
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Rafael Hernandez President, Treasurer, Director, Secretary, inactive, 2608 Rolyat St, Fort Pierce, FL 34954 (Physical)
Agent:
Spiegel Utrera,343 Almeria Ave, Miami, FL 33134 (Physical)
EIN:
NONE

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