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PB MEDICAL LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BERNSTEIN PAUL Agent 695 POINSETTA DR., SATELLITE BEACH, FL, 32937

Director

Name Role Address
BERNSTEIN PAUL Director 695 POINSETTA DR., SATELLITE BEACH, FL, 32937

Documents

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