SHAHID ZEB MD PA
Osteopathic Medicine at University Blvd, Jacksonville, FL

License number
Florida ME74773
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: SHAHID ZEB MD
Title: PRESIDENT
Phone: (904) 367-4460
Address
Address
4123 University Blvd S STE D, Jacksonville, FL 32216
National Provider ID: 1518272392
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHAHID ZEB MD PA

Jacksonville, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 16, 2010
Inactive since:
Sep 27, 2013
Addresses:
3604 University Blvd S 203, Jacksonville, FL 32216 (Physical)
3599 University Blvd S, Jacksonville, FL 32216
3604 University Blvd S, Jacksonville, FL 32216
State ID:
P10000067178
Business type:
Florida Profit Corporation
Presidents:
Shahid Md Zeb, 7806 Chipwood Ln, Jacksonville, FL 32256 (Physical),Shahid M.d Zeb, 7806 Chipwood Ln, Jacksonville, FL 32256 (Physical),Shahid P Zeb President, inactive, 7806 Chipwood Ln, Jacksonville, FL 32256 (Physical)
Agent:
Shahid Zeb,7806 Chipwood Ln, Jacksonville, FL 32256 (Physical)
EIN:
59-3697740

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