SHREEJI MEDICAL PA
Osteopathic Medicine at Cheney Hwy, Titusville, FL

License number
Florida ME63933
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. RASIKLAL N DELVADIA MD
Title: PRESIDENT
Phone: (321) 269-9800
Address
Address
2185A Cheney Hwy, Titusville, FL 32780
National Provider ID: 1912236332
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Shreeji Medical

2185 Cheney Hwy #A, Titusville, FL 32780

Status:
Inactive
Doing business as:
SHREEJI MEDICAL, PA<br>Shreeji Medical - Rasik Delvadia MD
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Oct 31, 1994
Inactive since:
May 17, 2007
Phone:
(321) 269-9800 (Phone)
State ID:
P94000079807
Business type:
Florida Profit Corporation
Director:
Rasiklal Delvadia (Director), 2185 Cheney Hwy, Titusville, FL 32780 (Physical)
Agent:
Delvadia, Rasiklal,2185 Cheney Hwy, Titusville, FL 32780 (Physical)
EIN:
59-3275318

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