LINA KANJ MD PA
Dermatology at Dairy Rd, Melbourne, FL

License number
Florida ME85500
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. LINA KANJ M.D.
Title: PRESIDENT
Phone: (321) 724-1319
Address
Address
1936 Dairy Rd, Melbourne, FL 32904
National Provider ID: 1396907853
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LINA KANJ MD PA at bizstanding.com

LINA KANJ, M.D., PA

Melbourne, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Lina Kanj MD
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 12, 2008
Inactive since:
Sep 26, 2014
Phone:
(321) 259-7500 (Phone)
Addresses:
1936 Dairy Rd, Melbourne, FL 32904 (Physical)
Melbourne, FL 32941 (Mailing)
PO Box 412017, Melbourne, FL 32941
State ID:
P08000026504
Business type:
Florida Profit Corporation
Dermatology, Medical Doctor, President, Principals:
Lina Kanj-Jamaleddine, 1936 Dairy Rd, Melbourne, FL 32904 (Physical),Lina F. Kanj-Jamaleddine President, inactive,Lina Kanj Dermatology, Medical Doctor, President, Principal, inactive
Agent:
Kanj-Jamaleddine, Lina,1936 Dairy Rd, Melbourne, FL 32904 (Physical)
EIN:
262259689

Dermatology licenses in Florida










Other Doctors licenses in Florida