AJ BARHOUSH MD PA
Radiology at 1 Ave, Ocala, FL

License number
Florida ME21215
Category
Radiology
Type
Vascular Surgery
Owner
Name: DR. ABDUL JABBAR BARHOUSH MD
Title: PERSIDENT
Phone: (352) 732-3036
Address
Address
1054 SW 1St Ave, Ocala, FL 34471
National Provider ID: 1972882538
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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A.J. BARHOUSH M.D., PA

Ocala, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Sep 25, 1975
Inactive since:
Oct 8, 2013
Addresses:
712 SE 3 Ave, Ocala, FL 34471 (Mailing)
1054 SW 1 Ave, Ocala, FL 34471
State ID:
484991
Business type:
Florida Profit Corporation
Secretarys:
A J Barhoush, 712 SE 3 Ave, Ocala, FL 34471 (Physical),A. J. Barhoush (President, Treasurer, Director),A.j. Barhoush Treasurer, inactive, 712 SE 3 Ave, Ocala, FL 34471 (Physical),...
Agent:
A Barhoush,712 SE 3 Ave, Ocala, FL 34471 (Physical)
EIN:
59-1625727

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