EDWARD BASS MD PA
Neurology at Habana Ave, Tampa, FL

License number
Florida S93186941
Category
Neurology
Type
Neurology
Owner
Name: DR. EDWARD BASS MD
Title: PHYSICIAN/NEUROLOGY
Phone: (813) 878-2800
Address
Address
4710 N Habana Ave SUITE 200, Tampa, FL 33614
National Provider ID: 1407856966
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EDWARD BASS MD PA at bizstanding.com

EDWARD BASS, M.D., PA

4710 N Habana Ave SUITE 200, Tampa, FL 33614

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 11, 1993
Inactive since:
Sep 28, 2012
State ID:
P93000043550
Business type:
Florida Profit Corporation
Edward Dr Bass, 4728 M/ Habana Ave SUITE 301, Tampa, FL 33614 (Physical)
Agent:
Kemker, Trenem,101 E Kennedy Blvd, Tampa, FL 33602 (Physical)
FEI/EIN:
59-3186941

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