DR BRADLEY H YOUNG, D.C. P.A.
Massage Therapy at 11 Ave, Shalimar, FL

License number
Florida 34390
Issued Date
Nov 2, 2015
Effective Date
Feb 17, 2017
Expiration Date
Aug 31, 2017
Category
Health Care
Type
Massage Establishment
Address
Address
6 11Th Ave STE H-3, Shalimar, FL 32579
Phone
(850) 613-2044
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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DR. BRADLEY H. YOUNG, D.C., PA

Shalimar, FL  -  Ft Walton Bch, FL

Registration:
May 17, 2002
Addresses:
6 11 Ave UNIT H-3, Shalimar, FL 32579 (Physical)
6 11 Ave SUITE H-3, Shalimar, FL 32579 (Mailing)
709 Eglin Pkwy NE, Ft Walton Bch, FL 32547
PO Box 758, Shalimar, FL 32579
State ID:
P02000055470
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
Bradley Hdr D C Young (President, Treasurer, Secretary), 6 11 Ave, Shalimar, FL 32579 (Physical)
Agent:
Bradley Hdr D Young,6 11 Ave SUITE H-3, Shalimar, FL 32579 (Physical)
EIN:
03-0454846

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