ELLIOTT B ROSENBAUM
Psychologist at Cornelia Dr, Jacksonville, FL

License number
Florida 8117
Issued Date
Jul 7, 2010
Effective Date
Jul 7, 2010
Expiration Date
May 31, 2018
Category
Health Care
Type
Psychologist
Address
Address
3113 Cornelia Dr, Jacksonville, FL 32257
Phone
(904) 542-3473
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Elliott Rosenbaum, age 47
3113 Cornelia Dr, Jacksonville, FL 32257
(904) 880-9239
Elliott Rosenbaum
3113 Cornelia Dr, Jacksonville, FL 32257
(904) 880-9239

Organization information

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ELLIOTT B. ROSENBAUM, PSY.D., PA

Jacksonville, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic, Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 20, 2010
Inactive since:
Sep 26, 2014
Addresses:
4465 Baymeadows Rd SUITE # 7, Jacksonville, FL 32217 (Physical)
3113 Cornelia Dr, Jacksonville, FL 32257
State ID:
P10000059642
Business type:
Florida Profit Corporation
President, Secretary, Vice Presidents:
Elliott Bdr. Rosenbaum President, Treasurer, inactive, 4465 Baymeadows Rd #7, Jacksonville, FL 32217 (Physical),Emily Rosenbaum President, Secretary, Vice President, inactive, 4465 Baymeadows Rd #7, Jacksonville, FL 32217 (Physical)
Agent:
Elliott Rosenbaum,4465 Baymeadows Rd #7, Jacksonville, FL 32217 (Physical)
EIN:
273115657

Professional information

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Elliott B Rosenbaum Photo 1
Elliott B Rosenbaum, Jacksonville FL

Elliott B Rosenbaum, Jacksonville FL
Specialties:
Psychology
Address:
4465 Baymeadows Rd, Jacksonville 32217
Languages:
English

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