ROSA M CUELLO SUAREZ MD PA
Osteopathic Medicine at Forest Hill Blvd, West Palm Beach, FL

License number
Florida ME0071562
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ROSA M CUELLO SUAREZ MD
Title: PRESIDENT
Phone: (561) 964-5161
Address
Address
1840 Forest Hill Blvd SUITE 100, West Palm Beach, FL 33406
National Provider ID: 1457420549
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROSA M CUELLO SUAREZ, MD PA

West Palm Beach, FL  -  Lake Worth, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jan 24, 2005
Inactive since:
Feb 27, 2008
Addresses:
1840 Frst Hl Blvd 100, West Palm Beach, FL 33406 (Physical)
2925 10 Ave N, Lake Worth, FL 33461
1870 Frst Hl Blvd, West Palm Beach, FL 33406
1840 Frst Hl Blvd, West Palm Beach, FL 33406
State ID:
P05000012104
Business type:
Florida Profit Corporation
Presidents:
Rosa Cuello Suarez, 1840 Frst Hl Blvd SUITE 100, West Palm Beach, FL 33406 (Physical),Rosa M Cuello Suarez (President)
EIN:
38-3715063

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