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NEST MEDICAL CENTER PA - Florida Company Profile

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Company Details

Entity Name: NEST MEDICAL CENTER PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 May 2025 (4 months ago)
Document Number: P25000028119
Address: 3161 SW 160TH AVE, MIRAMAR, FL, 33027, US
Mail Address: 3161 SW 160TH AVE, MIRAMAR, FL, 33027, US
ZIP code: 33027
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
HERNANDEZ LORA RAFAEL President 2200 N COMMERCE PKWY STE 200, WESTON, FL, 33326

National Provider Identifier

NPI Number:
1295528297
Certification Date:
2025-05-23

Authorized Person:

Name:
RAFAEL OSVALDO HERNANDEZ LORA
Role:
MD/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

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Date of last update: 03 Aug 2025

Sources: Florida Department of State