MUJEEB DDS,PA
Managed Care Organizations at Lake Washington Rd, Melbourne, FL

License number
Florida DN13401
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: ALMA BALCHUCK
Title: MANAGER
Phone: (321) 255-1991
Address
Address
3226 Lake Washington Rd #16, Melbourne, FL 32934
National Provider ID: 1801219159
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MUJEEB DDS,PA at bizstanding.com

MOHAMMED MUJEEB, D.D.S., PA

Melbourne, FL

Registration:
Jun 17, 1999
Addresses:
3226 Lk Washington Rd 16, Melbourne, FL 32934 (Physical)
3226 Lk Washington Rd, Melbourne, FL 32934
State ID:
P99000055657
Business type:
Florida Profit Corporation
President:
Mohammed D.d.s. Mujeeb (President), 3226 Lk Washington Rd STE 16, Melbourne, FL 32934 (Physical)
Agent:
Elaine Dinho,Janes Dinho & O'keefe Llp, Melbourne, FL 32940 (Physical)
EIN:
59-3583903

Managed Care Organizations licenses in Florida









Other Doctors licenses in Florida