Entity Name: | PB MEDICAL LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 04 Aug 2023 (2 years ago) |
Document Number: | L23000367353 |
FEI/EIN Number | 93-2745317 |
Address: | 695 POINSETTA DR., SATELLITE BEACH, FL, 32937, US |
Mail Address: | 695 POINSETTA DR., SATELLITE BEACH, FL, 32937, US |
ZIP code: | 32937 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1770369191 | 2023-09-01 | 2023-09-08 | 695 POINSETTA DR, SATELLITE BEACH, FL, 329372575, US | 101 E FLORIDA AVE, MELBOURNE, FL, 329018301, US | |||||||||||||||
|
Phone | +1 646-417-2396 |
Phone | +1 321-984-4600 |
Authorized person
Name | DR. PAUL BERNSTEIN |
Role | OWNER |
Phone | 6464172396 |
Taxonomy
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BERNSTEIN PAUL | Agent | 695 POINSETTA DR., SATELLITE BEACH, FL, 32937 |
Name | Role | Address |
---|---|---|
BERNSTEIN PAUL | Director | 695 POINSETTA DR., SATELLITE BEACH, FL, 32937 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-28 |
Florida Limited Liability | 2023-08-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State