ROBERTO A LLANTADA MD PA
Ambulatory Health at Palm Ave, Hialeah, FL

License number
Florida ME28478
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ROBERTO A LLANTADA MD
Title: MANAGING DIRECTOR
Phone: (305) 557-0092
Address
Address
3831 Palm Ave, Hialeah, FL 33012
National Provider ID: 1245478965
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Roberto Llantada, MD, PA

3831 Palm Ave, Hialeah, FL 33012

Status:
Inactive
Doing business as:
Roberto A. Llantada M.D., PA
Registration:
Dec 11, 2008
State ID:
P08000107828
Business type:
Domestic For Profit Corporation
President, Vice President, Directors:
Leonor Llantada (Treasurer, Director, Secretary),Roberto B. Llantada President, Vice President, Director, inactive
Agent:
Mike R. Moya

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