ST MARYS FAMILY PRACTICE CENTER
Osteopathic Medicine at 62 Ave, Saint Petersburg, FL

License number
Florida ME76807
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: SHERIF MINA SERAG MD
Title: OWNER
Phone: (727) 866-6306
Address
Address
1152 62Nd Ave S, Saint Petersburg, FL 33705
National Provider ID: 1487866687
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ST MARYS FAMILY PRACTICE CENTER at bizstanding.com

ST. MARY'S FAMILY PRACTICE CENTER, PA

1152 62 Ave S, Saint Petersburg, FL 33705

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Oct 22, 1998
Inactive since:
Oct 12, 2013
State ID:
P98000090158
Business type:
Florida Profit Corporation
President:
Sherif M Serag (President), 1152 62 Ave S, Saint Petersburg, FL 33705 (Physical)
Agent:
Sherif Mina Serag,1152 62 Ave S, Saint Petersburg, FL 33705 (Physical)
EIN:
59-3534929
Categories:
Physicians & Surgeons

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