DR. SRINIVAS P SAMAK, MD
Osteopathic Medicine at Lakeland Hills Blvd, Lakeland, FL

License number
Florida ME0028681
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address
1500 Lakeland Hills Blvd STE 4, Lakeland, FL 33805
Phone
(863) 688-3674
(863) 616-9902 (Fax)
National Provider ID: 1669465969
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SRINIVAS P SAMAK at bizstanding.com

Srinivas P Samak MD

4769 Highlands Pl Cir, Lakeland, FL 33813

Categories:
Family & General Practice Physicians & Surgeons, Internal Medicine Physicians & Surgeons
Phone:
(863) 688-7100 (Phone)

SRINIVAS P. SAMAK, M.D., PA

1500 Lakeland Hl Blvd SUITE 4, Lakeland, FL 33805

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 23, 2004
Inactive since:
Sep 24, 2010
State ID:
P04000159690
Business type:
Florida Profit Corporation
Srinivas Pmd Samak, 1500 Lakeland Hl Blvd SUITE 4, Lakeland, FL 33805 (Physical)
Agent:
Jeffrey Lasman,Lasman Law Firm, Brandon, FL 33511 (Physical)
FEI/EIN:
20-2057873

Professional information

Srinivas P Samak Photo 1

Dr. Srinivas P Samak, Lakeland FL - MD (Doctor of Medicine)
Specialties:
Family Medicine
Address:
1500 Lakeland Hills Blvd STE 4, Lakeland 33805
(863) 616-9902 (Fax)
Certifications:
Family Practice, 1987
Languages:
English, Hindi
Education:
Medical School
Karnatak University / Karnatak Medical College
Background:
Board Action:  1 time(s)

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida