THE VILLAGE PHYSICIAN LLC
Osteopathic Medicine at 170 Pl, Summerfield, FL

License number
Florida ME0075362
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ANIS A SHAHMIRI MD
Title: OWNER
Phone: (352) 206-5688
Address
Address 2
10435 SE 170Th Pl, Summerfield, FL 34491
PO Box 7, Belleview, FL 34421
National Provider ID: 1972856516
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about THE VILLAGE PHYSICIAN LLC at bizstanding.com

The Village Physician, LLC

10435 SE 107 Pl, Summerfield, FL 34491

Status:
Inactive
Registration:
Mar 14, 2012
State ID:
L12000036616
Business type:
Florida Limited Liability
Managers:
Shireen Shahmiri Manager, inactive,Anis D. Shahmiri Manager, inactive

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida