SHYAM VERMA MD PA
Osteopathic Medicine at Garden St, Titusville, FL

License number
Florida ME0054560
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: DR. SHYAM VERMA M.D.
Title: MEDICAL DIRECTOR
Phone: (321) 267-1164
Address
Address
801 Garden St, Titusville, FL 32796
National Provider ID: 1104842913
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHYAM VERMA, M.D., PA

801 Gdn St, Titusville, FL 32796

Registration:
Oct 13, 1989
State ID:
L22760
Business type:
Florida Profit Corporation
Directors:
Verma, Shyam, M.d, 801 Gdn St, Titusville, FL 32796 (Physical),Shyam Verma (Director)
EIN:
59-2974458

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