TEO LAMA MD PA
Radiology at Burns Rd, West Palm Beach, FL

License number
Florida ME00088400
Category
Radiology
Type
Trauma Surgery
Owner
Name: TEO LAMA MD
Title: OWNER
Phone: (561) 799-9559
Address
Address
3375 Burns Rd SUITE 206, West Palm Beach, FL 33410
National Provider ID: 1841526043
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TEO LAMA MD PA at bizstanding.com

TEO LAMA, M.D., PA

West Palm Beach, FL  -  Fort Lauderdale, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Reinstatement
Registration:
Jul 24, 2006
Inactive since:
Sep 30, 2011
Addresses:
1081 Pne Pt Rd, West Palm Beach, FL 33404 (Physical)
11193 SW 37 Mnr, Fort Lauderdale, FL 33328
State ID:
P06000097191
Business type:
Florida Profit Corporation
Director:
Teofilo R Lama (Director), 1081 Pne Pt Rd, West Palm Beach, FL 33404 (Physical)
Agent:
Teofilo Lama,1081 Pne Pt Rd, West Palm Beach, FL 33404 (Physical)
EIN:
20-5396404

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