BEENA M STANLEY MD PA
Neurology at Highland Blvd, Inverness, FL

License number
Florida ME73891
Category
Neurology
Type
Neurology
Owner
Name: BEENA MARGARET STANLEY MD
Title: NEUROLOGIST
Phone: (352) 860-0202
Address
Address
511 W Highland Blvd, Inverness, FL 34452
National Provider ID: 1144238031
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BEENA M STANLEY MD PA

Inverness, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Cancel Adm Diss/rev
Registration:
Apr 6, 2000
Inactive since:
Apr 30, 2010
Addresses:
511 W Highlands Blvd, Inverness, FL 34452 (Physical)
511 W Highland Blvd, Inverness, FL 34452
State ID:
P00000035209
Business type:
Florida Profit Corporation
President:
Beena M Stanley (President), 511 W Highlands Blvd, Inverness, FL 34452 (Physical)
Agent:
Beena Stanley,511 W Highlands Blvd, Inverness, FL 34452 (Physical)
EIN:
593688273

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