SHAFA CLINIC
Medical Practice in Dowling Park, FL

License number
Florida ME73901
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ZAHOOR A WASEEM M.D.
Title: PHYSICIAN
Phone: (386) 362-6405
Address
Address
609 SW Suite #3, Dowling Park, FL 32064
National Provider ID: 1407889629
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SHAFA CLINIC at bizstanding.com

SHAFA CLINIC, PA

Dowling Park, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 21, 2003
Inactive since:
Sep 26, 2008
Addresses:
609 5 St STE 3, Live Oak, FL 32064 (Physical)
Live Oak, FL 32064 (Mailing)
PO Box 8, Dowling Park, FL 32064
State ID:
P03000138417
Business type:
Florida Profit Corporation
President:
Zahoor A Waseem President, inactive, PO Box 38, Live Oak, FL 32064 (Physical)
Agent:
Zahoor Waseem,609 5 St, Live Oak, FL 32064 (Physical)
EIN:
34-2018225

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