RAJADORAI CALNAIDO MD PA
Ambulatory Health at Highway 87, Milton, FL

License number
Florida ME27299
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: MS. BRENDA ELOISE REAGAN
Title: OFFICE MANAGER
Phone: (850) 226-6546
Address
Address
6680 Highway 87 N, Milton, FL 32570
National Provider ID: 1124267455
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAJADORAI CALNAIDO M.D. PA

Milton, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 16, 1992
Inactive since:
Sep 26, 2014
Addresses:
6680 Hwy 87 N, Milton, FL 32570 (Physical)
Milton, FL 32572 (Mailing)
PO Box 708, Milton, FL 32572
State ID:
V21907
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Rajadorai M.d. Calnaido President, Treasurer, Secretary, Director, inactive
Agent:
Rajadorai Calnaido,6680 Hwy 87 N, Milton, FL 32570 (Physical)
EIN:
593120983

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