RALPH DIPRIMA MD PA
Osteopathic Medicine at State Road 7, Pompano Beach, FL

License number
Florida ME42639
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. RALPH E DIPRIMA MD
Title: PRESIDENT
Phone: (954) 975-8844
Address
Address
2825 N State Road 7 SUITE 203, Pompano Beach, FL 33063
National Provider ID: 1477739936
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RALPH DIPRIMA, M.D., PA

Pompano Beach, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 13, 2006
Inactive since:
Sep 28, 2012
Addresses:
10038 N Spg Way, Pompano Beach, FL 33076 (Physical)
Pompano Beach, FL 33093 (Mailing)
1945 Lyons Rd, Pompano Beach, FL 33063 (Physical)
2825 N State Rd 7, Pompano Beach, FL 33063
PO Box 934836, Pompano Beach, FL 33093
State ID:
P06000142751
Business type:
Florida Profit Corporation
President, Secretary, Directors:
Diprima, Ralph, M.d, 10038 N Spg Way, Coral Springs, FL (Physical),Ralph M.d. Diprima President, Secretary, Director, inactive, 10038 N Spg Way, Pompano Beach, FL 33076 (Physical)
Agent:
Raymond Zomerfeld,999 Ponce De Leon Blvd #1045, Miami, FL 33134 (Physical)
EIN:
205909580

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