MISAL KHAN,M.D. FRCS(ED) P.A.
Osteopathic Medicine at 3 St, Panama City, FL

License number
Florida ME032811
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. MISAL KHAN M.D.
Title: PRESIDENT
Phone: (850) 785-9511
Address
Address
3808 E 3Rd St, Panama City, FL 32401
National Provider ID: 1740434521
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MISAL KHAN M.D.,F.R.C.S.,(ED.), PA

3808 E 3 St, Panama City, FL 32401

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
REINSTATEMENT
Registration:
Dec 20, 1979
Inactive since:
Nov 7, 1991
State ID:
648977
Business type:
Florida Profit Corporation
Director:
Misal M.d. Khan (Director), 3808 E 3 St, Panama City, FL 32401 (Physical)
Agent:
Misal Khan,3808 E 3 St, Panama City, FL 32401 (Physical)
EIN:
59-1955173

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