| Entity Name: | DR. CAROLYN HOUSS, MEDICAL DECISION ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jan 1990 (35 years ago) |
| Document Number: | L44062 |
| FEI/EIN Number | 592991814 |
| Address: | 3345 BURNS RD, SUITE 101, PALM BEACH GARDENS, FL, 33410 |
| Mail Address: | 3345 BURNS RD, SUITE 101, PALM BEACH GARDENS, FL, 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003183930 | 2011-11-21 | 2018-02-20 | 3345 BURNS RD, STE 101, PALM BEACH GARDENS, FL, 334104324, US | 3345 BURNS RD, STE 101, PALM BEACH GARDENS, FL, 334104324, US | |||||||||||||||||||
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| Phone | +1 561-622-2022 |
| Fax | 5616226775 |
Authorized person
| Name | DR. CAROLYN A HOUSS |
| Role | PHYSICIAN/PROVIDER |
| Phone | 5616266560 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS5563 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARKS MITCHELL L | Agent | 155 OCEAN AVE, PALM BEACH SHORES, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| HOUSS CAROLYN | Director | 155 South Ocean Ave, Palm Beach Shores, FL, 33404 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
