PRIMARY CARE OF ORLANDO, INC.
Osteopathic Medicine at John Young Pkwy, Orlando, FL

License number
Florida ME71184
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: JASEEM A KHAN MD
Title: PRESIDENT
Phone: (407) 857-2144
Address
Address
5308 S John Young Pkwy SUITE 100, Orlando, FL 32839
National Provider ID: 1932221504
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRIMARY CARE OF ORLANDO, INC

5308 S John Young Pkwy #100, Orlando, FL 32839

Status:
Inactive
Industry:
Offices and Clinics of Medical Doctors, Nsk
Inactive reason:
REINSTATEMENT
Registration:
Aug 10, 1998
Inactive since:
May 7, 2001
Phone:
(407) 857-2144 (Phone)
State ID:
P98000069463
Business type:
Florida Profit Corporation
President:
Jaseem Khan (President), 11048 Ullswater Ln, Windermere, FL 34786 (Physical)
EIN:
59-3526432

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