SHIBU VARUGHESE
Physician at 66 Ter, Hollywood, FL

License number
Florida 9815
Issued Date
May 8, 2006
Effective Date
Jun 4, 2009
Expiration Date
Jun 30, 2010
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
4760 SW 66Th Ter, Hollywood, FL 33314
2950 Cleveland Clinic Blvd, Fort Lauderdale, FL 33331
Phone
(718) 619-0037
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about SHIBU VARUGHESE at bizstanding.com

Shibu Varughese MD

4399 N Nob Hl Rd, Fort Lauderdale, FL 33351

Industry:
Internist
Phone:
(954) 749-0300 (Phone)
Shibu Varughese

SHIBU VARUGHESE, M.D., PA

Fort Lauderdale, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 5, 2009
Inactive since:
Sep 26, 2014
Addresses:
4399 N Nob Hl Rd, Fort Lauderdale, FL 33351 (Physical)
4760 SW 66 Ter East Wing, Fort Lauderdale, FL 33314 (Mailing)
4760 SW 66 Ter, Fort Lauderdale, FL 33314
State ID:
P09000091546
Business type:
Florida Profit Corporation
President, Vice Presidents:
Shibu M.d. Varughese President, Secretary, inactive, 433 Fairfield Ave, Gretna, LA 70056 (Physical),Amy Gm.d. Varughese President, Vice President, inactive, 433 Fairfield Ave, Gretna, LA 70056 (Physical)
Agent:
Shibu Varughese,4760 SW 66 Ter, Fort Lauderdale, FL 33314 (Physical)
EIN:
27-1267459

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