LIAN S CHANG
Medical Practice at Gulf Blvd, Saint Petersburg, FL

License number
Florida 98853
Issued Date
Jun 5, 2007
Effective Date
Jan 19, 2015
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address
17900 Gulf Blvd #7A, Saint Petersburg, FL 33708
Phone
(651) 628-8036

Organization information

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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