WEST HIALEAH PEDIATRIC ASSOCIATES, PA
Medical Practice at 65 St, Hialeah, FL

License number
Florida ME0065418
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. EDUARDO FAUSTO BOLUMEN M.D.
Title: PRESIDENT
Phone: (305) 558-3930
Address
Address
344 W 65Th St SUITE 201, Hialeah, FL 33012
National Provider ID: 1528160306
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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West Hialeah Pediatric Associates P A

Hollywood, FL  -  Hialeah, FL

Industry:
Medical Doctor's Office
Doing business as:
West Hialeah Pediatric Associates, PA
Registration:
Feb 4, 1994
Addresses:
12650 SW 33 St, Hollywood, FL 33027
344 W 65 St, Hialeah, FL 33012
11300 NW 87 Ct, Hialeah, FL 33018
State ID:
P94000009511
Business type:
Domestic for Profit Corporation
President, Directors:
Ileana Romero-Bolumen (Vice-President, Director, Secretary, Vice President),Eduardo F. Bolumen (President, Director)

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