SULAYMAN E JALLOW MD PA
Medical Practice at Flamingo Rd, Hollywood, FL

License number
Florida ME0038394
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. SULAYMAN E JALLOW MD
Title: OWNER
Phone: (954) 436-7700
Address
Address
601 N Flamingo Rd SUITE 413, Hollywood, FL 33028
National Provider ID: 1922285170
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SULAYMAN E. JALLOW, M.D., PA

Hollywood, FL  -  Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Oct 30, 1985
Inactive since:
Mar 4, 2010
Phone:
(954) 436-7700 (Phone), (305) 835-2400 (Phone)
Addresses:
601 N Flamingo Rd 413, Hollywood, FL 33028 (Physical)
1190 NW 95 St, Miami, FL 33150
601 N Flamingo Rd, Hollywood, FL 33028
State ID:
M22694
Business type:
Florida Profit Corporation
President, Secretarys:
Sulayman E. Jallow (President, Secretary),Md Jallow President, Secretary, inactive, 601 N Flamingo Rd #413, Hollywood, FL 33028 (Physical)
Agent:
Sulayman Jallow,601 N Flamingo Rd, Hollywood, FL 33028 (Physical)
EIN:
59-2131840

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