EGERTON K VAN DEN BERG, M.D.
Osteopathic Medicine at Orange Ave, Orlando, FL

License number
Florida 117611
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Florida 117611
Category
Osteopathic Medicine
Type
Interventional Cardiology
Address
Address
2320 N Orange Ave, Orlando, FL 32804
Phone
(407) 896-0054
(407) 898-4463 (Fax)
National Provider ID: 1821192501
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EGERTON K VAN DEN BERG at bizstanding.com

Cardiology Consultants - James L Bolen MD

2320 N Orange Ave STE 201, Orlando, FL 32804

Doing business as:
Cardiology Consultants - Egerton K Van Den Berg MD
Phone:
(407) 896-0054 (Phone)
Categories:
Cardiology Physicians & Surgeons, Physicians & Surgeons

EGERTON K. VAN DEN BERG, JR., M.D., PA

2320 N Orange Ave, Orlando, FL 32804

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 22, 1990
Inactive since:
Sep 24, 1999
State ID:
L83077
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director, Vice Presidents:
K Den Berg, 2320 N Orange Ave, Orlando, FL (Physical),Egerton K. Van Den Berg President, Treasurer, Secretary, Director, Vice President, inactive
Agent:
Egerton K. Den Berg,2320 N Orange Ave, Orlando, FL 32804 (Physical)
EIN:
593021858

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