BEHAVIORAL MEDICINE & PSYCHOTHERAPY LLC
Psychiatric at Dairy Rd, Melbourne, FL

License number
Florida ME94555
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. LUIS MANUEL VINUELA MD
Title: MANAGER
Phone: (321) 704-3042
Address
Address
2340 Dairy Rd SUITE 104, Melbourne, FL 32904
National Provider ID: 1699937466
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BEHAVIORAL MEDICINE & PSYCHOTHERAPY LLC at bizstanding.com

BEHAVIORAL MEDICINE & PSYCHOTHERAPY, LLC

2340 Dairy Rd SUITE 104, Melbourne, FL 32904

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Jun 18, 2008
Inactive since:
Oct 11, 2013
State ID:
L08000059963
Business type:
Florida Limited Liability Company
Managing Members:
Luis M Vinuela (Managing Member), 2690 Rachwood Ct, Melbourne, FL 32934 (Physical),Laura L. Dion Managing Member, inactive
Agent:
Unishippers,2340 Dairy Rd SUITE 102, Melbourne, FL 32904 (Physical)
EIN:
262811623
Categories:
Physicians & Surgeons, Psychiatry Physicians

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