| Business Detail |
| Business Name |
RAIZA LOPEZ |
|
Business Info |
PHYSICIAN LIC#ME121043 |
| Business Address |
625 N FLAGLER DR |
|
|
W/MOUNT SINAI DOCTORS |
| City/State |
WEST PALM BEACH, FL |
|
bus info3 |
|
| Zip Code |
33401 |
|
bus info4 |
|
| Phone Number |
(561) 268-2000 |
|
bus info5 |
|
| Owner |
LOPEZ RAIZA |
|
new comm bus? |
|
| Established |
2020-07-29 |
|
home bus? |
|
| Balance Due |
$0.00 |
|
|
CHANGE LOCATION |
|
|
|
renew cycle |
|
| Business Tax Receipt Information |
| Receipt Number |
Category |
Issued |
Expiration |
| 100919 | PHYSICIAN HEALTH CARE & SOCIAL SERVICE | 07/30/2020 | 09/30/2023 |
|
|
|
