INFECTIOUS DISEASES OF FLORIDA PL
Osteopathic Medicine at Cortez Blvd, Brooksville, FL

License number
Florida ME94919
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: DR. SHEREEN ISMAEL SABA MD
Title: PRESIDENT
Phone: (352) 596-7625
Address
Address 2
11373 Cortez Blvd, Brooksville, FL 34613
3959 Van Dyke Rd #280, Lutz, FL 33558
National Provider ID: 1750338471
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INFECTIOUS DISEASES OF FLORIDA PL

Brooksville, FL  -  Lake Worth, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 23, 2006
Inactive since:
Sep 26, 2014
Addresses:
11331 Cortez Blvd, Brooksville, FL 34613 (Physical)
11331 Cortez Blvd, Lake Worth, FL 33461 (Mailing)
State ID:
L06000030797
Business type:
Florida Limited Liability Company
Managing Member:
Shereen Saba Managing Member, inactive, 11331 Cortez Blvd, Brooksville, FL 34613 (Physical)
Agent:
Saba, Shereen,11331 Cortez Blvd, Brooksville, FL 34613 (Physical)
EIN:
204594897
Categories:
Infectious Disease Physicians & Surgeons, Physicians & Surgeons
Specialties:
Infectious Disease

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