Entity Name: | STUART J. BERNSTEIN, M.D., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 18 Jul 1986 (39 years ago) |
Document Number: | J24583 |
FEI/EIN Number | 592693323 |
Address: | 21110 BISCAYNE BLVD, STE 405, AVENTURA, FL, 33180 |
Mail Address: | 21110 BISCAYNE BLVD, STE 405, AVENTURA, FL, 33180 |
ZIP code: | 33180 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346349156 | 2006-09-21 | 2010-06-28 | 21110 BISCAYNE BLVD, SUITE 405, AVENTURA, FL, 331801227, US | 21110 BISCAYNE BLVD, SUITE 405, AVENTURA, FL, 331801227, US | |||||||||||||||
|
Phone | +1 305-937-4400 |
Fax | 3059315625 |
Authorized person
Name | MS. IRMA TANNER |
Role | ADMINISTRATOR |
Phone | 3059374400 |
Taxonomy
Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BERNSTEIN, STUART J. | Agent | 21110 BISCAYNE BLVD, AVENTURA, FL, 33180 |
Name | Role | Address |
---|---|---|
BERNSTEIN, STUART J. | President | 21110 BISCAYNE BLVD 405, AVENTURA, FL, 33180 |
Name | Role | Address |
---|---|---|
BERNSTEIN, STUART J. | Director | 21110 BISCAYNE BLVD 405, AVENTURA, FL, 33180 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State