IVAN A MUSTAFA
Nursing at 150 Ave, Williston, FL

License number
Florida 3098742
Issued Date
Sep 13, 1996
Effective Date
Jan 1, 1901
Expiration Date
Apr 30, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
8490 NE 150Th Ave, Williston, FL 32696
500 Winderley Pl SUITE 115, Maitland, FL 32751
Phone
(407) 758-4104
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about IVAN A MUSTAFA at bizstanding.com

IVAN A. MUSTAFA, ARNP-C, PA

8490 NE 150 Ave, Williston, FL 32696

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 7, 2004
Inactive since:
Sep 15, 2006
State ID:
P04000005726
Business type:
Florida Profit Corporation
President, Secretary, Director:
Ivan A Mustafa President, Secretary, Director, inactive, 8490 NE 150 Ave, Williston, FL 32696 (Physical)
Agent:
Ivan Mustafa,8490 NE 150 Ave, Williston, FL 32696 (Physical)
EIN:
20-0585220

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