MOHAN L SHARMA MD PA
Osteopathic Medicine at Rich Ave, Deland, FL

License number
Florida ME0066293
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MOHAN L SHARMA
Title: MD
Phone: (386) 736-1444
Address
Address
231 EAST Rich Ave, Deland, FL 32724
National Provider ID: 1053408799
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MOHAN L. SHARMA M.D., PA

Deland, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Jun 5, 2006
Inactive since:
Oct 16, 2013
Addresses:
229 E Rich Ave, Deland, FL 32724 (Physical)
231 E Rich Ave, Deland, FL 32724
State ID:
P06000076880
Business type:
Florida Profit Corporation
Treasurer, Secretarys:
Mohan L Sharma (President, Vice President), 1658 Sterling Silver Blvd, Deltona, FL 32725 (Physical),Kiran P Sharma (Treasurer, Secretary), 1658 Sterling Silver Blvd, Deltona, FL 32725 (Physical)
Agent:
Mohan Sharma,1658 Sterling Silver Blvd, Deltona, FL 32725 (Physical)
EIN:
20-4977043

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