SADRUNNISA HAMEEDI MD PA
Osteopathic Medicine at Deltona Blvd, Deltona, FL

License number
Florida ME042306
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: SADRUNNISA HAMEEDI MD
Title: OWNER
Phone: (386) 574-9034
Address
Address
809 Deltona Blvd STE A, Deltona, FL 32725
National Provider ID: 1851662548
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SADRUNNISA HAMEEDI M.D., PA

Deltona, FL

Doing business as:
Sadrunnisa Hameedi MD
Registration:
Dec 6, 2011
Addresses:
809 Deltona Blvd #A, Deltona, FL 32725 (Physical)
Deltona, FL 32728 (Mailing)
PO Box 5847, Deltona, FL 32728
State ID:
P11000104143
Business type:
Florida Profit Corporation
Office Managers:
Hameedi, Sadrunnisa,Sadrunnisa S. Hameedi (Internal Medicine, Medical Doctor, Owner, Director, President, Secretary, Treasurer),Shakil Moajmmad (Office Manager)
Agent:
Vardhan, Renu,360 Crown Oaks Ctr Dr, Altamonte Springs, FL 32714 (Physical)
EIN:
45-4067638

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