RS PURI MD PA
Ambulatory Health at Us Highway 98, Lakeland, FL

License number
Florida ME28211
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. RAJINDER SINGH PURI M.D.
Title: PRESIDENT
Phone: (863) 858-7878
Address
Address
4120 Us Highway 98 N STE 400, Lakeland, FL 33809
National Provider ID: 1922352335
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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R.S. PURI M.D., PA

Lakeland, FL

Registration:
Sep 21, 2006
Addresses:
4120 U.s Hwy 98 N SUITE 400, Lakeland, FL 33809 (Physical)
4120 Us Hwy 98 N, Lakeland, FL 33809
State ID:
P06000121648
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Rajinder Singh Puri (President, Treasurer, Director, Secretary), 4120 U.s Hwy 98 N SUITE 400, Lakeland, FL 33809 (Physical)
Agent:
Puri, Shaun,Morrison & Ml, Tampa, FL 33606 (Physical)
EIN:
20-5605620

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