TERESA C IRIBARREN MD PA
Medical Practice at 42 St, Miami, FL

License number
Florida ME79837
Category
Medical Practice
Type
Specialist
Owner
Name: TERESA C IRIBARREN MD
Title: PRESIDENT
Phone: (786) 200-1162
Address
Address
12955 SW 42Nd St SUITE 12, Miami, FL 33175
National Provider ID: 1215073283
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Teresa C Iribarren MD

Miami, FL

Doing business as:
Teresa C Iribarren M.D. PA
Registration:
Aug 17, 2006
Addresses:
346 NW 119 Ct, Miami, FL 33182
2200 NW 102 Ave, Miami, FL 33172
12955 SW 42 St, Miami, FL 33175
State ID:
P06000108146
Business type:
Florida Profit Corporation
Principal, President:
Teresa C. Iribarren (Principal, President)
Agent:
Teresa Iribarren,346 NW 119 Ct, Miami, FL 33182 (Physical)
EIN:
20-5608810

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