NOORANI MEDICAL CENTER LLC
Managed Care Organizations at Bell Shoals Rd, Valrico, FL

License number
Florida 36113183
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: YOANKA DE LA OSA
Title: OFFICE MANAGER
Phone: (813) 504-9409
Address
Address
4320 Bell Shoals Rd, Valrico, FL 33596
National Provider ID: 1376805168
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NOORANI MEDICAL CENTER, LLC

Valrico, FL  -  Tampa, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Noorani Medical Center
Inactive reason:
LC AMENDMENT
Registration:
Apr 30, 2012
Inactive since:
Jul 30, 2012
Phone:
(813) 571-1111 (Phone)
Addresses:
4320 Bell Shl Rd, Valrico, FL 33596 (Physical)
10332 Saville Rowe Ln, Tampa, FL 33626
State ID:
L12000057446
Business type:
Florida Limited Liability Company
S:
Nazneen Noorani (Manager), 4320 Bell Shl Rd, Valrico, FL 33596 (Physical),Md Nazneen Hyder Noorani
EIN:
455202220

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