IRWIN GOTBAUM, D.O.
Radiology at Willow Dr, Lake Helen, FL

License number
Florida OS 1654
Category
Radiology
Type
Diagnostic Radiology
Address
Address
137 Willow Dr, Lake Helen, FL 32744
Phone
(386) 228-2755
(386) 228-2451
National Provider ID: 1396843876
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IRWIN GOTBAUM at bizstanding.com

IRWIN GOTBAUM PA

840 Pleasant St, Lake Helen, FL 32744

Industry:
Business Services at Non-Commercial Site
Registration:
Nov 14, 1968
State ID:
600571
Business type:
Florida Profit Corporation
President, Director:
Irwin Gotbaum (President, Director), 840 Pleasant St, Lake Helen, FL 32744 (Physical)
Agent:
Gotbaum, Irwin,840 Pleasant St, Lake Helen, FL 32744 (Physical)
EIN:
59-1224328

Radiology licenses in Florida