AGAPE INTEGRATED REHAB SERVICES INC
Physical Therapy at Dunlawton Ave, Daytona Beach, FL

License number
Florida PT 4660
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: JAMES W CORWIN
Title: OWNER/PT
Phone: (386) 756-0077
Address
Address
733 Dunlawton Ave STE 103, Daytona Beach, FL 32127
National Provider ID: 1811185291
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AGAPE INTEGRATED REHAB SERVICES, INC

733 Dunlawton Ave STE 103, Port Orange, FL 32127

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Apr 2, 1998
Inactive since:
Jan 23, 2015
State ID:
P98000030576
Business type:
Florida Profit Corporation
President, Secretarys:
James Corwin (President, Secretary), 1221 N Hallifax Dr, Daytona Beach, FL 32118 (Physical),Stacey Gill President, Secretary, inactive
Agent:
Gill, Stacey,2447 Old Samsula Rd, Port Orange, FL 32128 (Physical)
EIN:
593502725

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