SHOLOMO J LANES MD PA
Radiology at Hollywood Blvd, Hollywood, FL

License number
Florida 105742
Category
Radiology
Type
Vascular Surgery
Owner
Name: SHOLOMO J LANES MD
Title: MD
Phone: (954) 961-1200
Address
Address
3850 Hollywood Blvd SUITE 201, Hollywood, FL 33021
National Provider ID: 1790229912
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHOLOMO J. LANES, M.D., PA

3850 Hollywood Blvd STE 301, Hollywood, FL 33021

Industry:
Bowling Center
Registration:
Mar 23, 2012
State ID:
P12000028140
Business type:
Florida Profit Corporation
Director, President, Secretary:
Sholomo J Lanes (Director, President, Secretary), 3850 Hollywood Blvd STE 301, Hollywood, FL 33021 (Physical)
Agent:
Atrium Registered Agents, Inc,1500 San Remo Ave STE 125, Miami, FL 33146 (Physical)
EIN:
45-4901567

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