BRIAN D BASKIN
Physician at Seminole Rd, Jacksonville, FL
License number
Florida 3186
Issued Date
May 12, 2000
Effective Date
May 27, 2003
Expiration Date
May 12, 2004
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
2321 Seminole Rd, Jacksonville, FL 32233
Organization information
See more information about BRIAN D BASKIN at bizstanding.comBRIAN D. BASKIN, M.D., PA
4488 Capital Dome Dr, Jacksonville, FL 32246
Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
May 10, 2005
Inactive since:
Jan 25, 2010
State ID:
P05000069192
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Brian D Baskin President, Treasurer, Secretary, Director, inactive, 4488 Capital Dome Dr, Jacksonville, FL 32246 (Physical)
Agent:
Brian Baskin,4488 Capital Dome Dr, Jacksonville, FL 32246 (Physical)
EIN:
020743449
Professional information
Brian David Baskin, Walnut Creek CA
Specialties:
Emergency Medicine Physician
Address:
1425 S Main St, Walnut Creek, CA 94596
2080 Child St, Jacksonville, FL 32214
2080 Child St, Jacksonville, FL 32214
Education:
University of Virginia, School of Medicine - Doctor of Medicine*
Board certifications:
American Board of Emergency Medicine Certification in Emergency Medicine*