PENA-SAMPER MEDICAL ASSOCIATES, INC
Osteopathic Medicine at Armenia Ave, Tampa, FL

License number
Florida ME38971
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Florida ME51328
Category
Osteopathic Medicine
Type
Hematology & Oncology
Owner
Name: MRS. KATHERINE MARCELA PENA-PERILLA
Title: OFFICE MANAGER
Phone: (813) 935-6334
Address
Address
7820 N Armenia Ave, Tampa, FL 33604
National Provider ID: 1114108172
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PENA-SAMPER MEDICAL ASSOCIATES, INC at bizstanding.com

PENA-SAMPER MEDICAL ASSOCIATION INC

7820 N Armenia Ave, Tampa, FL 33604

Status:
Inactive
Inactive reason:
Reinstatement
Registration:
Apr 17, 1989
Inactive since:
Apr 17, 2013
State ID:
K80602
Business type:
Florida Profit Corporation
Secretarys:
Max R Pena (President), 4204 Carrollwood Vlg Ct, Tampa, FL 33618 (Physical),Samper-Pena, Carolina V, Md, 4204 Carrollwood Vlg Ct, Tampa, FL 33618 (Physical),Pena-Perilla, Katherine M, 6619 Long Bay Ln, Tampa, FL 33615 (Physical),...
Agent:
Max Pena,7820 N Armenia Ave, Tampa, FL 33603 (Physical)
EIN:
59-2938187

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