LIAN S CHANG MD. LLC
Ambulatory Health at Gulf Blvd, Saint Petersburg, FL

License number
Florida ME98853
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: LIAN CHANG M.D.
Title: OWNER
Phone: (651) 628-0368
Address
Address
17900 Gulf Blvd APT 7A, Saint Petersburg, FL 33708
National Provider ID: 1417390204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LIAN S CHANG MD. LLC at bizstanding.com

LIAN S. CHANG, MD, LLC

17900 Gulf Blvd, Saint Petersburg, FL 33708

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Feb 28, 2008
Inactive since:
Nov 3, 2009
State ID:
L08000022065
Business type:
Florida Limited Liability Company
Principal, Managing Member:
Lian Smd Chang (Principal, Managing Member)
Agent:
Frank Greco,4047 Henderson Blvd, Tampa, FL 33629 (Physical)
EIN:
800171435

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