IRVING S KOLIN MD PA
Psychiatric in Winter Park, FL

License number
Florida ME0014534
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. IRVING S KOLIN MD
Title: PRESIDENT
Phone: (407) 644-1122
Address
Address
1065 W. Morse Blvd SUITE 202, Winter Park, FL 32789
National Provider ID: 1619012705
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IRVING S. KOLIN, M.D., PA

1065 W Morse Blvd STE 202, Winter Park, FL 32789

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 1, 1973
Inactive since:
Sep 26, 2014
Phone:
(407) 644-1122 (Phone)
State ID:
604191
Business type:
Florida Profit Corporation
Secretarys:
Irving Sm.d. Kolin President, Treasurer, Director, Secretary, inactive, 225 Trismen Ter, Winter Park, FL 32789 (Physical),Rochelle Kolin Secretary, inactive
Agent:
Irving Kolin,1065 W Morse Blvd, Winter Park, FL 32789 (Physical)
EIN:
59-1449973

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