BNB SPEECH THERAPY
Ambulatory Health at Moosehead Dr, Orange Park, FL

License number
Florida SA12010
Category
Ambulatory Health
Type
Hearing and Speech
Owner
Name: BRANDI LYNN BUSSEY M.A., CCC-SLP
Title: OWNER
Phone: (904) 304-0109
Address
Address
1067 Moosehead Dr, Orange Park, FL 32065
National Provider ID: 1407215338
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BNB SPEECH THERAPY at bizstanding.com

BNB SPEECH THERAPY, LLC

1067 Moosehead Dr, Orange Park, FL 32065

Registration:
Nov 14, 2014
State ID:
L14000180072
Business type:
Florida Limited Liability Company
S:
Brandi L Bussey (Manager), 1067 Moosehead Dr, Orange Park, FL 32065 (Physical),Bryan Bussey, 1067 Moosehead Dr, Orange Park, FL 32065 (Physical)
Agent:
Marion Wehner,515 College Dr, Middleburg, FL 32068 (Physical)
EIN:
47-2289044

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