METROPOLITAN PAIN MANAGEMENT
Osteopathic Medicine at Salisbury Rd, Jacksonville, FL

License number
Florida OS6845
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. ISMAIL DIRGHAM SALAHI DO
Title: PRESIDENT
Phone: (904) 296-3611
Address
Address
4063 Salisbury Rd NORTH SUITE 206, Jacksonville, FL 32216
National Provider ID: 1497711733
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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METROPOLITAN PAIN MANAGEMENT CENTER, INC

Jacksonville, FL

Status:
Inactive
Industry:
Medical Doctor's Office Chiropractor's Office
Doing business as:
Metropolitan Pain Management Center
Inactive reason:
Name Change Amendment
Registration:
Dec 24, 2003
Inactive since:
Dec 22, 2006
Phone:
(904) 296-3611 (Phone)
Addresses:
4063 Salisbury Rd N #206 206, Jacksonville, FL 32216 (Physical)
4130 Salisbury Rd, Jacksonville, FL 32216
State ID:
P03000157121
Business type:
Florida Profit Corporation
Manager, Office Managers:
Ismail Salahi (President), 4063 Salisbury Rd N #206, Jacksonville, FL 32216 (Physical),Tina Davis Manager, Office Manager, inactive
EIN:
20-0524047

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