RETINA MACULA SPECIALISTS OF MIAMI
Medical Practice at Flamingo Rd, Hollywood, FL

License number
Florida ME86697
Category
Medical Practice
Type
Ophthalmology
Owner
Name: MR. JESSE BROWN
Title: CREDENTIALING COORDINATOR
Phone: (305) 653-6500
Address
Address 2
601 N Flamingo Rd STE 413, Hollywood, FL 33028
184 NE 168Th St, Miami, FL 33162
National Provider ID: 1518384155
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RETINA MACULA SPECIALISTS OF MIAMI at bizstanding.com

Retina Macula Specialists of Miami, LLC

351 NW 42 Ave, Miami, FL 33126

Industry:
Offices and Clinics of Medical Doctors, Nsk
Member:
Wilfredo C. Lara (Member)

RETINA MACULA SPECIALISTS OF MIAMI, LLC

184 NE 168 St, Miami, FL 33162

Status:
Inactive
Inactive reason:
LC NAME CHANGE
Registration:
Dec 5, 2012
Inactive since:
Jan 4, 2013
State ID:
L12000152501
Business type:
Florida Limited Liability Company
Managers:
Md Levy, 184 NE 168 St, Miami, FL 33162 (Physical),Md Taher, 184 NE 168 St, Miami, FL 33162 (Physical),Md Lara, 184 NE 168 St, Miami, FL 33162 (Physical),...
Agent:
Jonathan J. Lichtman,20283 State Rd 7 SUITE 300, Boca Raton, FL 33498 (Physical)
EIN:
46-1758367

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