HAYATH JAVEED MD PA
Ambulatory Health at Moog Rd, Tarpon Springs, FL

License number
Florida ME 71161
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. HAYATH JAVEED M.D
Title: PRESIDENT
Phone: (727) 944-5055
Address
Address
4904 Moog Rd, Tarpon Springs, FL 34690
National Provider ID: 1558510602
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HAYATH JAVEED, M.D., PA

Tarpon Springs, FL

Industry:
Medical Doctor's Office
Registration:
May 14, 1999
Addresses:
4904 Moog Rd, Holiday, FL 34690 (Physical)
2660 E Lk Trl, Tarpon Springs, FL 34688 (Mailing)
State ID:
P99000044382
Business type:
Florida Profit Corporation
President:
Javeed Hayath (President), 2660 E Lk Trl, Tarpon Springs, FL 34688 (Physical)
Agent:
Alan Gassman,1245 Ct St SUITE 102, Clearwater, FL 33756 (Physical)
EIN:
59-3576000

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