| Business Detail |
| Business Name |
MARIA DE LAS NIEVE MATA MD |
|
Business Info |
PHYSICIAN LIC#ME47760 |
| Business Address |
901 VILLAGE BLVD # 702 |
|
|
W/SHERIDAN RADIOLOGY |
| City/State |
WEST PALM BEACH, FL |
|
bus info3 |
SERVICES OF S FL INC |
| Zip Code |
33409 |
|
bus info4 |
|
| Phone Number |
(561) 882-6214 |
|
bus info5 |
|
| Owner |
MATA MARIA DE LAS NIEVE |
|
new comm bus? |
NO |
| Established |
2014-09-06 |
|
home bus? |
|
| Balance Due |
$0.00 |
|
|
NOT W/ OFFICE LTR |
|
|
|
renew cycle |
NON-COMPL5 |
| Business Tax Receipt Information |
| Receipt Number |
Category |
Issued |
Expiration |
| 66763 | PHYSICIAN HEALTH CARE & SOCIAL SERVICE | 02/18/2015 | 09/30/2018 |
|
|
|