RAUL CARDENAS, M.D. P.A.
Physical Therapy at Nob Hill Rd, Fort Lauderdale, FL

License number
Florida ME0046093
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: RAUL CARDENAS M.D., P.A.
Title: PRESIDENT
Phone: (954) 474-5238
Address
Address
4399 N Nob Hill Rd, Fort Lauderdale, FL 33351
National Provider ID: 1437443868
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAUL CARDENAS M.D., PA

13941 Oak Rdg Dr, Ft Lauderdale, FL 33325

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Feb 6, 1990
Inactive since:
Apr 7, 2007
State ID:
L49382
Business type:
Florida Profit Corporation
Secretarys:
Cardenas Raul (Director, President), 13941 Oak Rdg Dr, Ft Lauderdale, FL 33325 (Physical),Cardenas Berta (Director, Secretary), 13941 Oak Rdg Dr, Ft Lauderdale, FL 33325 (Physical),Raul Cardenas President, inactive,...
Agent:
Ceballos, Haydee,890 S Dixie Hwy, Miami, FL 33146 (Physical)
EIN:
650176766

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