ADEL A KALLINI MD PA
Osteopathic Medicine at Sample Rd, Pompano Beach, FL

License number
Florida ME0032795
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. ADEL AYAD KALLINI MD.
Title: OWNER
Phone: (954) 788-9003
Address
Address
440 EAST Sample Rd SUITE 101, Pompano Beach, FL 33064
National Provider ID: 1700099421
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADEL A. KALLINI, M.D., PA

440 E Sample Rd SUITE 101, Pompano Beach, FL 33064

Status:
Inactive
Inactive reason:
Reinstatement
Registration:
Nov 2, 1979
Inactive since:
Jul 14, 2010
State ID:
643917
Business type:
Florida Profit Corporation
President, Treasurer, Director:
Adel Kallini (President, Treasurer, Director), 440 E Sample Rd SUITE 101, Pompano Beach, FL 33064 (Physical)
Agent:
Kallini, Adel A., M.d,16437 Bridlewood Cir SUITE 101, Delray Beach, FL 33445 (Physical)
EIN:
591948705

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