JEFFREY S GOTTFRIED DO PA
Marriage and Family Therapists at Virginia Ave, Fort Pierce, FL

License number
Florida 0S7057
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JEFFREY STUART GOTTRIED DO
Title: OWNER PHYSICIAN
Phone: (772) 464-6551
Address
Address
900 Virginia Ave SUITE 10, Fort Pierce, FL 34982
National Provider ID: 1164630091
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jeffrey S. Gottfried, D.O., PA

900 Virginia Ave, Fort Pierce, FL 34982

Registration:
May 22, 2003
State ID:
P03000056510
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary, Vice President:
Jeffrey S. Gottfried (President, Treasurer, Secretary, Vice President)
Agent:
Kendall J. Phillips

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