ABRAHAM I AWWAD DO, LLC
Osteopathic Medicine at Central Ave, Saint Petersburg, FL

License number
Florida OS 7025
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: DR. ABRAHAM I AWWAD DO
Title: PRESIDENT
Phone: (727) 322-0245
Address
Address
3622 Central Ave, Saint Petersburg, FL 33711
National Provider ID: 1801985494
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ABRAHAM I. AWWAD, D.O., LLC

3622 Central Ave, Saint Petersburg, FL 33711

Status:
Inactive
Doing business as:
ABRAHAM I. AWWAD, D.O., PA
Inactive reason:
CONVERSION
Registration:
Oct 21, 2013
Inactive since:
Oct 21, 2013
State ID:
L13000149269
Business type:
Florida Limited Liability Company
Director, Managers:
Awwad, Abraham I, D.o, 3622 Central Ave, Saint Petersburg, FL 33711 (Physical),Abraham Ido Awwad Director, Manager, inactive, 3622 Central Ave, Saint Petersburg, FL 33711 (Physical)
Agent:
Alan Gassman,1245 Ct St SUITE 102, Clearwater, FL 33756 (Physical)
EIN:
59-3562144

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