THEODORE J MANGRU
Nursing at 164 Ter Miami, Miami, FL
License number
Florida 2913662
Issued Date
Mar 13, 1995
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
375 NE 164Th Ter, Miami, FL 33162
Phone
(305) 439-7987
Organization information
See more information about THEODORE J MANGRU at bizstanding.comTHEODORE J MANGRU ARNP INC
Miami, FL - Hollywood, FL
Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Apr 6, 2010
Inactive since:
Sep 30, 2013
Addresses:
2199 Ali Baba Ave, Opa Locka, FL 33054 (Physical)
375 NE 164 Ter, Miami, FL 33162 (Mailing)
11801 Pembroke Rd, Hollywood, FL 33025
731 NW 155 Ter, Hollywood, FL 33028
375 NE 164 Ter, Miami, FL 33162 (Mailing)
11801 Pembroke Rd, Hollywood, FL 33025
731 NW 155 Ter, Hollywood, FL 33028
State ID:
P10000029521
Business type:
Florida Profit Corporation
President:
Theodore J Mangru (President), 375 NE 164 Ter, Miami, FL 33162 (Physical)
Agent:
Theodore Mangru,375 NE 164 Ter, Miami, FL 33162 (Physical)
EIN:
27-2274178
Professional information
Theodore J Mangru, Miami FL - ARNP
Specialties:
Nursing (Nurse Practitioner), Acute Care Nursing (Clinical Nurse Specialist), Acute Care Nursing (Nurse Practitioner), Nursing (Clinical Nurse Specialist)
Address:
1000 Park Centre Blvd STE 136, Miami 33169
(305) 628-6138 (Phone), (305) 290-3216 (Fax)
(305) 628-6138 (Phone), (305) 290-3216 (Fax)
Languages:
English