REGENCY ENDOCRINOLOGY, DIABETES AND METABOLISM, INC.
Osteopathic Medicine at Stirling Center Pl, Lake Mary, FL

License number
Florida 0075530
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: MAHA F ANSARA M.D.
Title: PRESIDENT/PHYSICIAN
Phone: (407) 333-1212
Address
Address
752 Stirling Center Pl SUITE 1008, Lake Mary, FL 32746
National Provider ID: 1215957741
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about REGENCY ENDOCRINOLOGY, DIABETES AND METABOLISM, INC. at bizstanding.com

REGENCY ENDOCRINOLOGY DIABETES AND METABOLISM, INC

752 Stirling Ctr Pl SUITE 1008, Lake Mary, FL 32746

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Apr 27, 1998
Inactive since:
Nov 28, 2005
State ID:
P98000038501
Business type:
Florida Profit Corporation
Maha Fmd Ansara, 752 Stirling Ctr Pl, Lake Mary, FL 32746 (Physical)
Agent:
Maha Ansara,752 Stirling Ctr Pl SUITE 1008, Lake Mary, FL 32746 (Physical)
FEI/EIN:
59-3511028

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