PEN DASNA, MD
Osteopathic Medicine at Semoran Blvd, Apopka, FL

License number
Florida ME0031032
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address
3191 E Semoran Blvd, Apopka, FL 32703
Phone
(407) 788-6500
(407) 869-9400 (Fax)
National Provider ID: 1124128285
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PEN DASNA at bizstanding.com

PEN DASNA M.D., P.L.C

3191 E Semoran Blvd, Apopka, FL 32703

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 3, 2005
Inactive since:
Sep 25, 2009
State ID:
L05000000818
Business type:
Florida Limited Liability Company
Pen Dasna, 457 Forestwood Ln, Maitland, FL 32751 (Physical)
Agent:
Noble, Joann,2908 Pne Ave, Apopka, FL 32703 (Physical)
FEI/EIN:
20-2095122

Professional information

Pen Dasna Photo 1

Pen Dasna, Apopka FL
Specialties:
Internal Medicine
Work:
Hunt Club Medical Care
 3191 E Semoran Blvd, Apopka, FL 32703
Education:
Chulalongkorn University (1966) Internal Medicine

Pen Dasna Photo 2

Pen Dasna, Apopka FL
Specialties:
Internist
Address:
3191 E Semoran Blvd, Apopka, FL 32703
Education:
Chulalongkorn University, Faculty of Medicine - Doctor of Medicine
Board certifications:
American Board of Internal Medicine Certification in Internal Medicine

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