FLORIDA GASTROENTEROLOGY ASSOCIATES PA
Osteopathic Medicine at Daughtery Rd, Zephyrhills, FL

License number
Florida ME0064410
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: MS. JANE CAROL MAY
Title: OFFICE MANAGER
Phone: (813) 780-8620
Address
Address
37908 Daughtery Rd STE A, Zephyrhills, FL 33541
National Provider ID: 1427163682
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FLORIDA GASTROENTEROLOGY ASSOCIATES, PA

Zephyrhills, FL  -  Brandon, FL

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jan 5, 1995
Inactive since:
May 10, 2001
Addresses:
37908 Daughtery Rd A, Zephyrhills, FL 33541 (Physical)
213 Providence Rd, Brandon, FL 33511
State ID:
P95000005706
Business type:
Florida Profit Corporation
Directors:
Yawer Nensey (President), 37908 Daughtery Rd, Zephyrhills, FL 33541 (Physical),Ziauddin Shamsi (Secretary),Saeed Ahmed Treasurer, inactive,...
EIN:
593284825

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