KHALED O SHEBANI MD, INC
Medical Practice at Magnolia Ext, Ocala, FL

License number
Florida ME95263
Category
Medical Practice
Type
Specialist
Owner
Name: DR. KHALED OMAR SHEBANI MD
Title: PRESIDENT
Phone: (352) 620-2711
Address
Address
1500 SE Magnolia Ext SUITE 201, Ocala, FL 34471
National Provider ID: 1700176484
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KHALED O. SHEBANI MD, INC

Ocala, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Mar 9, 2011
Inactive since:
Jul 25, 2011
Addresses:
1500 SE Magnolia Ext SUITE 201, Ocala, FL 34471 (Physical)
1500Se Magnolia Ext SUITE 201, Ocala, FL 34471 (Mailing)
2820 SE 3 Ct, Ocala, FL 34471
State ID:
P11000024368
Business type:
Florida Profit Corporation
President:
Shebani O Shebani (President), 1500 SE Manolia Ext STE 201, Ocala, FL 34471 (Physical)
Agent:
Khaled Shebani,1500 SE Magnolia Ext, Ocala, FL 34471 (Physical)
EIN:
35-2404603

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