DOCTORS' COMPREHENSIVE SPINE CENTER, INC
Anesthesiologist Assistant at Dr Martin Luther King Jr Blvd, Tampa, FL

License number
Florida CH 5142
Category
Chiropractic
Type
Rehabilitation
Owner
Name: MRS. KIM RUSNAK
Title: ADMINISTRATOR
Phone: (813) 873-9229
Address
Address
1931 W Dr Martin Luther King Jr Blvd SUITE A, Tampa, FL 33607
National Provider ID: 1023162906
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOCTORS' COMPREHENSIVE SPINE CENTER, INC

Tampa, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jul 30, 2004
Inactive since:
Sep 24, 2010
Addresses:
1931-A W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 (Physical)
1931 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607
State ID:
P04000112247
Business type:
Florida Profit Corporation
President:
Frank Dr Mazzarelli President, inactive, 1931 W Mlk Jr Blvd, Tampa, FL 33607 (Physical)
Agent:
Craig Rothburd
EIN:
37-1493760

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