ROSALBA WARNER, PA
Medical Practice at Pines Blvd, Hollywood, FL

License number
Florida 06441527771
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. ROSALBA WARNER
Title: MICRO-PIGMENTATION SPECIALIST
Phone: (305) 987-8171
Address
Address
15800 Pines Blvd SUITE 333, Hollywood, FL 33027
National Provider ID: 1497173561
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ROSALBA WARNER, PA at bizstanding.com

ROSALBA WARNER, PA

3906 SW 190 Ave, Hollywood, FL 33029

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Oct 15, 2007
Inactive since:
Dec 4, 2007
State ID:
P07000113690
Business type:
Florida Profit Corporation
Principal, Presidents:
Dwayne Warner (Vice President), 3906 SW 190 Ave, Hollywood, FL 33029 (Physical),Rosalba Warner Principal, President, inactive, 3906 SW 190 Ave, Hollywood, FL 33029 (Physical)
Agent:
Warner, Rosalba,15800 Pne Blvd SUITE 333, Hollywood, FL 33027 (Physical)
EIN:
26-1256628

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