SISSI E COSSIO MD PA
Medical Practice at Royal Palm Blvd, Pompano Beach, FL

License number
Florida ME94631
Category
Medical Practice
Type
Pediatric Endocrinology
Owner
Name: ANA LOPEZ
Title: CONSULTANT
Phone: (954) 605-4391
Address
Address
8130 Royal Palm Blvd SUITE 102, Pompano Beach, FL 33065
National Provider ID: 1255591467
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SISSI E. COSSIO, M.D., PA

Pompano Beach, FL  -  Fort Lauderdale, FL

Industry:
Business Services at Non-Commercial Site, Medical Doctor's Office
Registration:
Jun 3, 2008
Addresses:
8130 Royal Palm Blvd 101, Pompano Beach, FL 33065 (Physical)
1482 Lantana Ct, Fort Lauderdale, FL 33326
3100 Coral Hl Dr, Pompano Beach, FL 33065
State ID:
P08000054584
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Sissi Emd Cossio (President, Treasurer, Secretary, Director), 11181 Eron Bay Blvd, Pompano Beach, FL 33076 (Physical)
Agent:
Sissi Cossio,8130 Royal Palm Blvd, Pompano Beach, FL 33065 (Physical)
EIN:
26-2753150

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