TALAN MEDICAL SERVICES CORP
Managed Care Organizations at Fontainebleau Blvd, Miami, FL

License number
Florida MM26296
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: JORGE F LOPEZ MASSAGE THERAPIST
Title: PRESIDENT
Phone: (305) 221-9161
Address
Address
175 Fontainebleau Blvd, Miami, FL 33172
National Provider ID: 1942585062
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TALAN MEDICAL SERVICES CORP at bizstanding.com

Talan Medical Center Corp

Miami, FL

Status:
Inactive
Doing business as:
Talan Medical Services Corp
Inactive reason:
AMENDMENT
Registration:
Dec 2, 2010
Inactive since:
Oct 24, 2011
Addresses:
175 Fontainebleau Blvd, Miami, FL 33172
PO Box 441213, Miami, FL 33144
1069 SW 139 Pl, Miami, FL 33184
State ID:
P10000097872
Business type:
Florida Profit Corporation
President, Vice Presidents:
Diaz M. Vicente (President),Jorge F. Lopez President, Principal, inactive,Lerida J. Labrada Secretary, inactive,...
Agent:
Diaz Vicente,1069 SW 139 Pl, Miami, FL 33184 (Physical)
EIN:
27-4150035

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