MUKHERJEE & MUKAYED MD PA
Osteopathic Medicine in Saint Petersburg, FL

License number
Florida ME51285
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: MR. USAMA MUKAYED M.D.
Title: PRESIDENT
Phone: (727) 527-6464
Address
Address
5880 49 St. N. STE 203N, Saint Petersburg, FL 33709
National Provider ID: 1437185709
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MUKHERJEE & MUKAYED, M.D., PA

5880 49 St N SUITE 203N, Saint Petersburg, FL 33709

Status:
Inactive
Inactive reason:
Name Change Amendment
Registration:
Sep 1, 1977
Inactive since:
Jul 3, 1991
State ID:
544406
Business type:
Florida Profit Corporation
President, Treasurer, Directors:
Mukayed, Usama, Dr, 5880 49 St N, Saint Petersburg, FL 33709 (Physical),Dipak K Mukherjee (Chairman, Secretary), 5880 49 St N, Saint Petersburg, FL 33709 (Physical),Usama Mukayed (Secretary, President),...
Agent:
Mukayed, Usama,5880 49 N SUITE 203N, Saint Petersburg, FL 33709 (Physical)
EIN:
59-1760995

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