MANATEE SURGICAL SPECIALISTS PA
Medical Practice at 4 Ave, Bradenton, FL

License number
Florida ME37646
Category
Medical Practice
Type
Specialist
Owner
Name: DR. A. SAMIR HASSAN MD
Title: PRESIDENT
Phone: (941) 748-6099
Address
Address
201 4Th Ave E SUITE 2, Bradenton, FL 34208
National Provider ID: 1295811123
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MANATEE SURGICAL SPECIALISTS, PA

201 4 Ave E SUITE 2, Bradenton, FL 34208

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Oct 1, 1982
Inactive since:
Apr 14, 1997
Phone:
(941) 747-5061 (Phone)
State ID:
G01410
Business type:
Florida Profit Corporation
President, Treasurer, Secretarys:
A. Samir Hassan (Director), 201 4 Ave E, Bradenton, FL 34208 (Physical),A Samir Hassan, 201 4 Ave E, Bradenton, FL 34208 (Physical),Hassan A. Samir (President, Treasurer, Secretary)
Agent:
Hassan A. Samir,201 4 Ave E STE 2 SUITE 2, Bradenton, FL 34208 (Physical)
EIN:
592220041
Categories:
Physicians & Surgeons

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