HABIB KHAN MD PA
Osteopathic Medicine at Woodsmuir Dr, West Palm Beach, FL

License number
Florida ME-97166
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: WAQAS HUSSAIN
Title: OPERATIONS MANAGER
Phone: (405) 563-2443
Address
Address
8131 Woodsmuir Dr, West Palm Beach, FL 33412
National Provider ID: 1013276922
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HABIB KHAN M.D PA

8131 Woodsmuir Dr, West Palm Beach, FL 33412

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
May 14, 2012
Inactive since:
Sep 27, 2013
State ID:
P12000044799
Business type:
Florida Profit Corporation
President:
Habib Khan President, inactive, 8131 Woodsmuir Dr, West Palm Beach, FL 33412 (Physical)
Agent:
Khan, Habib,8131 Woodsmuir Dr, West Palm Beach, FL 33412 (Physical)
EIN:
NO-NE

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