BRUCE A HARTWIG MD PA
Medical Practice at Shircliff Way, Jacksonville, FL

License number
Florida ME0039317
Category
Medical Practice
Type
Specialist
Owner
Name: DR. BRUCE ALLAN HARTWIG MD
Title: PRESIDENT/PHYSICIAN
Phone: (904) 389-6226
Address
Address
3 Shircliff Way SUITE 752, Jacksonville, FL 32204
National Provider ID: 1033366273
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BRUCE A HARTWIG MD PA at bizstanding.com

BRUCE A. HARTWIG, M.D., PA

Jacksonville, FL

Status:
Inactive
Inactive reason:
Reinstatement
Registration:
Feb 17, 1982
Inactive since:
Dec 7, 1984
Addresses:
3 Shircliff Way #752, Jacksonville, FL 32204 (Physical)
1820 Barrs St, Jacksonville, FL 32204
State ID:
F67549
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Bruce A Hartwig (President, Treasurer, Secretary, Director), 3 Shircliff Way #752, Jacksonville, FL (Physical)
Agent:
Hartwig (Bruce A.),3 Shircliff Way SUITE 752, Jacksonville, FL 32204 (Physical)
EIN:
592157126

Medical Practice licenses in Florida










Other Doctors licenses in Florida