VALENTIN ESTRADA M.D P.A
Osteopathic Medicine at 8 St, Miami, FL

License number
Florida ME96866
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. VALENTIN ESTRADA M.D
Title: OWNER
Phone: (786) 360-6057
Address
Address
12260 SW 8Th St SUITE 120, Miami, FL 33184
National Provider ID: 1104123454
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VALENTIN ESTRADA MD PA

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Valentin Estrada MD
Inactive reason:
REINSTATEMENT
Registration:
Oct 5, 2006
Inactive since:
Mar 24, 2015
Phone:
(786) 360-6057 (Phone)
Addresses:
12260 SW 8 St SUITE 120, Miami, FL 33184 (Physical)
3641 SW 129 Ave, Miami, FL 33175
State ID:
P06000127931
Business type:
Florida Profit Corporation
President, Director:
Valentin Estrada President, Director, inactive, 3641 SW 129 Ave, Miami, FL 33175 (Physical)
EIN:
205955522

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