ERIC W SHULTZ DPM PA
Medical Practice at Normandy Blvd, Jacksonville, FL

License number
Florida PO1898
Category
Podiatry
Type
Podiatrist
License number
Florida PO1898
Category
Medical Practice
Type
Public Medicine
License number
Florida PO1898
Category
Podiatry
Type
Primary Podiatric Medicine
License number
Florida PO1898
Category
Radiology
Type
Radiology
License number
Florida PO1898
Category
Medical Practice
Type
Foot & Ankle Surgery
License number
Florida PO1898
Category
Medical Practice
Type
Foot Surgery
Owner
Name: MRS. KELLEY M LUNDEEN DPM
Title: OFFICE MANAGER
Phone: (904) 551-1765
Address
Address
10250 Normandy Blvd SUITE 205, Jacksonville, FL 32221
National Provider ID: 1326250010
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ERIC W SHULTZ DPM PA at bizstanding.com

ERIC W. SHULTZ DPM, PA

Jacksonville, FL

Status:
Inactive
Doing business as:
Eric W Shultz Dpm
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 3, 1995
Inactive since:
Sep 28, 2012
Addresses:
10250 Normandy Blvd SUITE 205, Jacksonville, FL 32221 (Physical)
5300 San Juan Ave, Jacksonville, FL 32210
State ID:
P95000052945
Business type:
Florida Profit Corporation
Office Managers:
Eric W Shultz Podiatrist, Principal, President, Director, inactive, 10250 Normandy Blvd SUITE 205, Jacksonville, FL 32221 (Physical),Terry L. Chauncey Office Manager, inactive,Kelley M. Lundeen Office Manager, inactive
Agent:
Eric Shultz,10250 Normandy Blvd SUITE 205, Jacksonville, FL 32221 (Physical)
EIN:
593315544

Medical Practice licenses in Florida










Other Doctors licenses in Florida