DAVID R. SLAVENS, PA
Massage Therapy at Tamiami Trl, Fort Myers, FL

License number
Florida 13330
Issued Date
Oct 14, 2003
Effective Date
Mar 17, 2014
Expiration Date
Aug 31, 2013
Category
Health Care
Type
Massage Establishment
Address
Address
16450-2 S Tamiami Trl, Fort Myers, FL 33908
Phone
(239) 432-9909
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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DR. DAVID R. SLAVENS, PA

Ft Myers, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jan 28, 2002
Inactive since:
Oct 11, 2007
Addresses:
16120-5 San Carlosblvd, Ft Myers, FL 33908 (Physical)
16450 S Tamiami Trl, Ft Myers, FL 33908
State ID:
P02000009581
Business type:
Florida Profit Corporation
Director:
David R Slavens (Director), 16120-5 San Carlosblvd, Ft Myers, FL 33908 (Physical)
Agent:
David Slavens,16120-5 San Carlosblvd, Ft Myers, FL 33908 (Physical)
EIN:
04-3587473

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