GULFCOAST MEDICAL ASSOCIATES
Osteopathic Medicine at 38 Ave, Saint Petersburg, FL

License number
Florida ME57806
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: NANDKISHOR SHAH M.D.
Title: PRESIDENT
Phone: (727) 347-2780
Address
Address
6450 38Th Ave N #100, Saint Petersburg, FL 33710
National Provider ID: 1114100187
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GULFCOAST MEDICAL ASSOCIATES at bizstanding.com

GULFCOAST MEDICAL ASSOCIATES, INC

Saint Petersburg, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Nov 9, 1995
Inactive since:
Apr 20, 2007
Addresses:
6450- 38 Ave N STE 100, Saint Petersburg, FL 33710 (Physical)
6450 38 Ave N, Saint Petersburg, FL 33710
State ID:
P95000086299
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Nandkishor Shah (President, Treasurer, Secretary, Director)
Agent:
Shah, Nandkishor,6450-38 Ave N, Saint Petersburg, FL 33710 (Physical)
EIN:
59-3343583

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