TOMAS VILLANUEVA D.O. P.A.
Osteopathic Medicine at 40 St, Miami, FL

License number
Florida OS0006373
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. TOMAS VILLANUEVA D.O.
Title: DIRECTOROWNER/PHYSICIAN
Phone: (305) 552-6969
Address
Address
11760 SW 40Th St STE 112, Miami, FL 33175
National Provider ID: 1003912817
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TOMAS VILLANUEVA D.O. P.A. at bizstanding.com

Tomas Villanueva Do.,pa

8080 W Flagler SUITE 1B, Miami, FL 33144

Phone:
(305) 269-8080 (Phone)
Email:
[email protected]
SIC:
7323 - Credit Reporting Services

TOMAS VILLANUEVA, D.O., PA

11760 Bird Rd SUITE 112, Miami, FL 33175

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 9, 1996
Inactive since:
Sep 23, 2011
State ID:
P96000074396
Business type:
Florida Profit Corporation
Tomas D Villanueva, 11760 Bird Rd SUITE 112, Miami, FL 33175 (Physical)
Agent:
Tomas Villanueva,11760 Bird Rd Suite 112 SUITE 112, Miami, FL 33175 (Physical)
FEI/EIN:
65-0691743

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