ORTHOPEDIC SPECIALTY CARE CENTER PA
Medical Practice at Walden Center Dr, Bonita Springs, FL

License number
Florida ME78272
Category
Medical Practice
Type
Specialist
Owner
Name: ALDO R BERETTA MD
Title: OWNER
Phone: (239) 390-2174
Address
Address
24231 Walden Center Dr STE 201, Bonita Springs, FL 34134
National Provider ID: 1740499045
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORTHOPEDIC SPECIALTY CARE CENTER, PA

Bonita Springs, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 25, 2000
Inactive since:
Sep 26, 2014
Addresses:
24231 Walden Ctr Dr STE 201, Bonita Springs, FL 34134 (Physical)
3501 Health Ctr Blvd, Bonita Springs, FL 34135
State ID:
P00000080737
Business type:
Florida Profit Corporation
Director:
Aldo Rm.d. Beretta Director, inactive, 24231 Walden Ctr Dr SUITE 201, Bonita Springs, FL 34134 (Physical)
Agent:
Aldo Beretta,24231 Walden Ctr Dr, Bonita Springs, FL 34134 (Physical)
EIN:
593667470

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