KHOI X DAM MD PA
Osteopathic Medicine at Oak Trail Way, Port Richey, FL

License number
Florida ME32037
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: KHOI XUAN DAM MD
Title: PRESIDENT
Phone: (727) 863-7995
Address
Address
11915 Oak Trail Way, Port Richey, FL 34668
National Provider ID: 1205145109
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KHOI X DAM MD PA at bizstanding.com

KHOI X. DAM, M.D., PA

11915 Oak Trl Way, Port Richey, FL 34668

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 7, 1985
Inactive since:
Sep 23, 2011
State ID:
H84828
Business type:
Florida Profit Corporation
President, Vice Presidents:
Khoi X. Dam President, Director, inactive, 18011 Patterson Rd, Odessa, FL 33556 (Physical),Tam Dam President, Vice President, inactive, 18011 Patterson Rd, Odessa, FL 33556 (Physical)
Agent:
Khoi Dam,18011 Patterson Rd, Odessa, FL 33556 (Physical)
EIN:
59-2605432

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