VIVIAN BILASANO MD LLC
Ambulatory Health at 172 Ave, Hollywood, FL

License number
Florida ME 77619
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. VIVIAN BILASANO MD
Title: MANAGER
Phone: (954) 320-7999
Address
Address
1951 SW 172Nd Ave, Hollywood, FL 33029
National Provider ID: 1639559750
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VIVIAN BILASANO MD LLC at bizstanding.com

VIVIAN BILASANO, M.D., LLC

Hollywood, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
VIVIAN BILASANO, M.D., PA
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 21, 2010
Inactive since:
Sep 25, 2009
Addresses:
1951 SW 172 Ave SUITE 200, Hollywood, FL 33029 (Physical)
5092 SW 173 Ave, Hollywood, FL 33029 (Mailing)
State ID:
P08000009555
Business type:
Florida Profit Corporation
Managing Member, Director:
Vivian M.d. Bilasano Managing Member, Director, inactive, 5092 SW 173 Ave, Hollywood, FL 33029 (Physical)
Agent:
Corporate Creations Network Inc,11380 Prosperity Farms Rd #221E, Palm Beach Gardens, FL 33410 (Physical)
EIN:
NO-NE

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