IVAN A MUSTAFA
Medical Practice in Williston, FL

License number
Florida 52930
Issued Date
Dec 1, 1986
Effective Date
Oct 25, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
8490 Ne150 Ave, Williston, FL 32696
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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