HASAN MEDICAL CENTER, PLC
Osteopathic Medicine at Webb Rd, Tampa, FL

License number
Florida ME69066
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: TARIK HASAN M.D.
Title: DOCTOR
Phone: (813) 600-9039
Address
Address
5420 Webb Rd STE B2, Tampa, FL 33615
National Provider ID: 1821196163
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HASAN MEDICAL CENTER, PLC

Tampa, FL

Status:
Inactive
Industry:
Health/Allied Services
Inactive reason:
ARTICLES OF CORRECTION/NAME CHANGE
Registration:
Sep 1, 2005
Inactive since:
Sep 2, 2005
Addresses:
5420 Webb Rd SUITE B-2, Tampa, FL 33615 (Physical)
10207 Radcliffe Dr, Tampa, FL 33626 (Mailing)
State ID:
L05000086512
Business type:
Florida Limited Liability Company
Managers:
Hasan, Tarik K, Dr, 10207 Radcliffe Dr, Tampa, FL 33626 (Physical),Tarik K. Hasan (Manager)
EIN:
20-3397907

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