ROZA GURARYE, MD, PA
Marriage and Family Therapists at 163 St, Miami, FL

License number
Florida ME45646
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. ROZA BORIS GURARYE MD
Title: OWNER
Phone: (305) 785-7793
Address
Address
2020 NE 163Rd St STE 105, Miami, FL 33162
National Provider ID: 1467696286
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROZA GURARYE, M.D. PA

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Family Doctor
Doing business as:
Roza Gurarye MD
Inactive reason:
REINSTATEMENT
Registration:
Jun 27, 1988
Inactive since:
Nov 7, 2013
Phone:
(305) 948-3985 (Phone)
Addresses:
2020 NE 163 St 105, Miami, FL 33162 (Mailing)
2020 NE 163 St, Miami, FL 33162
State ID:
M88050
Business type:
Florida Profit Corporation
Office Managers:
Roza B Gurarye (Family Practitioner, Medical Doctor, President), 17555 Collins Ave #1405, North Miami Beach, FL 33160 (Physical),Olga Fuzaylov (Office Manager),Jackie Rivera Office Manager, inactive
Agent:
Roza Gurarye,2020 NE 163 St, Miami, FL 33162 (Physical)
EIN:
65-0056359

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