CENTER FOR NEUROSCIENCE PL
Neurology at Military Trl, Delray Beach, FL

License number
Florida PY6865
Category
Social Work
Type
Clinical Neuropsychologist
License number
Florida PY6865
Category
Psychologist
Type
Psychologist
License number
Florida PY6865
Category
Social Work
Type
Clinical
License number
Florida ME72476
Category
Neurology
Type
Neurology
Owner
Name: DR. M FARHAN SIDDIQUI M.D.
Title: PRESIDENT
Phone: (561) 638-8872
Address
Address
16244 Military Trl STE 150, Delray Beach, FL 33484
National Provider ID: 1124151931
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CENTER FOR NEUROSCIENCE PL at bizstanding.com

CENTER FOR NEUROSCIENCE, PL

Delray Beach, FL  -  Boca Raton, FL

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Oct 9, 2001
Inactive since:
Aug 3, 2004
Addresses:
16244 S Military Trl SUITE 150, Delray Beach, FL 33484 (Physical)
PO Box 880414, Boca Raton, FL 33488
State ID:
L01000017295
Business type:
Florida Limited Liability Company
Managers:
Samuel Farhan Siddiqui (Manager), 16244 S Military Trl, Delray Beach, FL 33484 (Physical),M. Farhan Siddiqui Manager, inactive
EIN:
65-1142797

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