DR BERNARD GOLDSTEIN PA
Medical Practice at North Ave, Zephyrhills, FL

License number
Florida PO0000369
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. BERNARD LEO GOLDSTEIN DPM
Title: OWNER
Phone: (813) 972-3338
Address
Address 2
38122 North Ave NORTH, Zephyrhills, FL 33542
13615 Bruce B Downs Blvd SUITE 112, Tampa, FL 33613
National Provider ID: 1801075932
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. BERNARD GOLDSTEIN, PA

13615 Bruce B Downs Blvd #112, Tampa, FL 33613

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Oct 29, 1970
Inactive since:
Sep 28, 2012
State ID:
602496
Business type:
Florida Profit Corporation
President, Treasurer, Director:
Bernard Goldstein President, Treasurer, Director, inactive, 13615 Bruce B Downs Blvd #112, Tampa, FL (Physical)
Agent:
Goldstein, Bernard,13615 Bruce B Downs Blvd #112, Tampa, FL 33613 (Physical)
EIN:
59-1305394

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