URGENT CARE BAPTIST C CORP
Ambulatory Health at 26 St, Miami, FL

License number
Florida ME38894
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MR. ERNESTO J MATAMOROS SR. M.D.
Title: DOCTOR
Phone: (305) 503-6115
Address
Address
14750 SW 26Th St SUITE 216, Miami, FL 33185
National Provider ID: 1700200813
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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URGENT CARE BAPTIST C. CORP

Miami, FL

Status:
Inactive
Industry:
Nonclassifiable Establishments
Inactive reason:
AMENDMENT
Registration:
Jan 31, 2014
Inactive since:
Jul 9, 2014
Addresses:
14750 S.w 26 St 216, Miami, FL 33185 (Physical)
14750 SW 26 St, Miami, FL 33185
State ID:
P14000010355
Business type:
Florida Profit Corporation
Director, President, Treasurers:
Lautaro Martin Silva (Director, President, Treasurer), 14750 SW 26 St, Miami, FL 33185 (Physical),Ernesto J. Matamoros Director, President, Treasurer, inactive
Agent:
Valdes, Armando,14750 S.w 26 St, Miami, FL 33185 (Physical)
EIN:
46-4738704

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