SUSAN SALEHI MD PA
Osteopathic Medicine at Kingsley Ave, Orange Park, FL

License number
Florida ME46259
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: SUSAN SALEHI MD
Title: PRESIDENT
Phone: (904) 269-1661
Address
Address
1518 Kingsley Ave, Orange Park, FL 32073
National Provider ID: 1467725853
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Susan Salehi, M.D., PA

1518 Kingsley Ave, Orange Park, FL 32073

Status:
Inactive
Industry:
Internist
Doing business as:
Susan Salehi MD
Registration:
Jul 22, 1991
Phone:
(904) 269-1661 (Phone)
State ID:
S68554
Business type:
Domestic for Profit Corporation
Director, President, Secretary:
Susan Salehi Director, President, Secretary, inactive
Agent:
Herman S. Paul

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