| Business Detail |
| Business Name |
BERTO LOPEZ |
|
Business Info |
PHYSICIAN LIC# ME50399 |
| Business Address |
1501 PRESIDENTIAL WAY # 20 |
|
|
W/ PALM BEACH MEDICAL |
| City/State |
WEST PALM BEACH, FL |
|
bus info3 |
|
| Zip Code |
33401 |
|
bus info4 |
|
| Phone Number |
(561) 616-3939 |
|
bus info5 |
|
| Owner |
LOPEZ BERTO |
|
new comm bus? |
|
| Established |
2019-12-11 |
|
home bus? |
|
| Balance Due |
$0.00 |
|
|
SEE ATTACHED |
|
|
|
renew cycle |
|
| Business Tax Receipt Information |
| Receipt Number |
Category |
Issued |
Expiration |
| 99105 | PHYSICIAN HEALTH CARE & SOCIAL SERVICE | 12/11/2019 | 09/30/2021 |
|
|
|
