BUSCHWOOD REHABILITATION LLC
Medical Practice at Busch Blvd, Tampa, FL

License number
Florida MA 56282
Category
Medical Practice
Type
Specialist
Owner
Name: MR. MICHEAL ANTHONY DINO LMT
Title: OWNER
Phone: (813) 932-8300
Address
Address
1502 W Busch Blvd STE 1A, Tampa, FL 33612
National Provider ID: 1649595299
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BUSCHWOOD REHABILITATION LLC at bizstanding.com

BUSCHWOOD REHABILITATION, LLC

Tampa, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Mar 4, 2010
Inactive since:
Oct 22, 2012
Addresses:
1502 W Busch Blvd SUITE 1A 1C, Tampa, FL 33612 (Physical)
3550 Buschwood Park Dr, Tampa, FL 33618
State ID:
L10000024578
Business type:
Florida Limited Liability Company
Managing Members:
Maritzabeth Colon Managing Member, inactive, 10605 N 26 St, Tampa, FL 33612 (Physical),Maykel Cuellar Manager, inactive, 6021 W Paris St, Tampa, FL 33634 (Physical),Michael A. Dino Managing Member, inactive
Agent:
Colon, Maritzabeth,1502 W Busch Blvd, Tampa, FL 33612 (Physical)
EIN:
272036980

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