MR. SEBASTIAN DE LA MAZA, CHILD ADOLESCENT AND
Psychiatric at Kendall Dr, Miami, FL

License number
Florida ME0034838
Category
Psychiatric
Type
Psychiatry
Address
Address
8740 N Kendall Dr SUITE 206, Miami, FL 33176
Phone
(305) 595-0189
National Provider ID: 1891917910
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about SEBASTIAN DE LA MAZA at radaris.com
Name
Address
Phone
Sebastian La
7261 NW 16Th St APT B128, Plantation, FL 33313

Organization information

See more information about SEBASTIAN DE LA MAZA at bizstanding.com

SEBASTIAN DE LA MAZA, M.D., PA

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 26, 1981
Inactive since:
Sep 25, 2009
Addresses:
8740 N Kendall Dr 206, Miami, FL 33176 (Physical)
8740 N Kendall Dr, Miami, FL 33176
State ID:
692188
Business type:
Florida Profit Corporation
President, Directors:
Sebastian Md Maza,Sebastian De La Maza President, Director, inactive
Agent:
De La Maza, Sebastian,8740 N Kendall Dr, Miami, FL 33176 (Physical)
EIN:
59-2103138

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