BOUNTIFUL WELLNESS, LLC
Managed Care Organizations at Inverrary Blvd, Fort Lauderdale, FL

License number
Florida IMT1950
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MS. VIKKE BROOKS BROOKS THERAPIST
Title: DIRECTOR
Phone: (954) 242-4988
Address
Address
4010 Inverrary Blvd, Fort Lauderdale, FL 33319
National Provider ID: 1366974313
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BOUNTIFUL WELLNESS, LLC at bizstanding.com

BOUNTIFUL WELLNESS, LLC

4010 Inverrary Blvd APT 9A, Fort Lauderdale, FL 33319

Status:
Inactive
Inactive reason:
LC AMENDMENT AND NAME CHANGE
Registration:
Nov 13, 2012
Inactive since:
Apr 23, 2015
State ID:
L12000142611
Business type:
Florida Limited Liability Company
Vikke R Brooks, 4010 Inverrary Blvd APT 9A, Fort Lauderdale, FL 33319 (Physical)
Agent:
Vikke Brooks,4010 Inverrary Blvd APT 9A, Fort Lauderdale, FL 33319 (Physical)
FEI/EIN:
NONE

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