TODD K KIM PA
Medical Practice in Miami, FL

License number
Florida ME0017134
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: TODD KIM MD
Title: OWNER
Phone: (305) 531-7643
Address
Address
333-41 St SUITE 322, Miami, FL 33140
National Provider ID: 1679529069
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TODD K. KIM, PA

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Dec 5, 1990
Inactive since:
Sep 25, 2009
Addresses:
333-41 St STE 322, Miami Beach, FL 33140 (Physical)
333-41 St St STE 322, Miami Beach, FL 33140 (Mailing)
333 W 41 St, Miami, FL 33140
State ID:
S16324
Business type:
Florida Profit Corporation
President:
Todd Kmd Kim President, inactive, 333-41 St, Miami Beach, FL 33140 (Physical)
Agent:
Todd Kim,333 41 St #322, Miami Beach, FL 33140 (Physical)
EIN:
65-0231244

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