SHAHUL HAMEED RIAZUDEEN MD PA
Osteopathic Medicine in Ruskin, FL

License number
Florida ME93264
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. SHAHUL HAMEED RIAZUDEEN M.D.
Title: PRESIDENT
Phone: (813) 634-5502
Address
Address
4020 Sun City Center Blvd Suite #1, Ruskin, FL 33573
National Provider ID: 1144343690
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHAHUL HAMEED RIAZUDEEN MD PA

4020 Sun City Ctr Blvd STE #1, Sun City Center, FL 33573

Industry:
Medical Doctor's Office
Registration:
Nov 1, 2006
State ID:
P06000138494
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
Shahul H Riazudeen (President, Treasurer, Secretary), 16143 Colchester Palms Dr, Tampa, FL 33647 (Physical)
Agent:
Shahul Riazudeen,16143 Colchester Palms Dr, Tampa, FL 33647 (Physical)
EIN:
20-5821390

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