CLEARWATER DERMATOLOGY, P.A.
Dermatology at Druid Rd, Clearwater, FL

License number
Florida ME0021279
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. ROGER STEVEN GOLOMB MD
Title: PRESIDENT
Phone: (727) 461-2282
Address
Address
1122 Druid Rd E, Clearwater, FL 33756
National Provider ID: 1780659094
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CLEARWATER DERMATOLOGY, P.A. at bizstanding.com

CLEARWATER DERMATOLOGY, PA

1122 Druid Rd, Clearwater, FL 33756

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jul 1, 1977
Inactive since:
Jun 30, 1988
Phone:
(727) 461-2282 (Phone)
State ID:
538243
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Directors:
Golomb, Roger S, M.d, 1122 Druid Rd, Clearwater, FL 33756 (Physical),Burns, George E, M.d, 1122 Druid Rd, Clearwater, FL 33756 (Physical),Golomb, Roger S., M.d, 1122 Druid Rd, Clearwater, FL 33756 (Physical),...
Agent:
Roger Golomb,1122 Druid Rd, Clearwater, FL 33756 (Physical)
EIN:
591748009

Dermatology licenses in Florida









Other Doctors licenses in Florida