REZA YASREBI, MD, PA
Osteopathic Medicine at Lakeland Hills Blvd, Lakeland, FL

License number
Florida ME0023965
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. REZA YASREBI MD
Title: MD/PRESIDENT
Phone: (352) 867-8898
Address
Address 2
1324 Lakeland Hills Blvd, Lakeland, FL 33805
PO Box 380, Ocala, FL 34478
National Provider ID: 1801995519
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REZA YASREBI, M.D.,P.A

1419 Hollingsworth Oaks Dr, Lakeland, FL 33803

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Feb 1, 1978
Inactive since:
Sep 27, 2013
State ID:
558795
Business type:
Florida Profit Corporation
President, Treasurer, Secretarys:
Yasrebi, Reza, M.d, 1324 Lakeland Hl Blvd, Lakeland, FL 33805 (Physical),Reza Yasrebi President, Treasurer, Secretary, inactive
EIN:
591796971

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