RETROGENICS LLC
Osteopathic Medicine at Federal Hwy, Fort Lauderdale, FL

License number
Florida ME983636
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: PAUL S GOODKIN DC
Title: BILLER
Phone: (954) 202-9009
Address
Address
6333 N Federal Hwy STE 250, Fort Lauderdale, FL 33308
National Provider ID: 1205212255
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RETROGENICS LLC at bizstanding.com

RETROGENICS LLC

Ft Lauderdale, FL

Registration:
Apr 22, 2015
Addresses:
6333 N Federal Hwy SUITE 250, Ft Lauderdale, FL 33308 (Physical)
268 Imperial Ln, Ft Lauderdale, FL 33308 (Mailing)
State ID:
L15000070869
Business type:
Florida Limited Liability Company
Tom Macek, 268 Imperial Ln, Ft Lauderdale, FL 33308 (Physical)
Agent:
Macek, Tom
FEI/EIN:
NONE

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