SYED SHAFEEQ UR RAHMAN PA
Ambulatory Health at Virginia Ave, Fort Pierce, FL

License number
Florida ME86628
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: SYED SHAFEEQ UR RAHMAN M.D.
Title: M.D.
Phone: (772) 468-6969
Address
Address
805 Virginia Ave SUITE 16, Fort Pierce, FL 34982
National Provider ID: 1821233305
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SYED SHAFEEQ UR RAHMAN PA at bizstanding.com

SYED SHAFEEQ UR RAHMAN, PA

805 Virginia Ave SUITE 16, Fort Pierce, FL 34982

Registration:
May 5, 2005
State ID:
P05000067606
Business type:
Florida Profit Corporation
Presidents:
Syed Shafeeq U Ur Rahman, 805 Virginia Ave STE #16, Fort Pierce, FL 34982 (Physical),Syed Shafeeq U Rahman (President)
Agent:
Syed Shafeeq Rahman,805 Virginia Ave SUITE 16, Fort Pierce, FL 34982 (Physical)
EIN:
20-3570738

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