DYNAMIC MEDICAL REHABILITATION CENTER OF DEERFIELD BEACH
Chiropractic at Powerline Rd, Pompano Beach, FL

License number
Florida CH7166
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. MICHAEL R BASTKOWSKI M.D.
Title: PRESIDENT
Phone: (954) 421-2005
Address
Address
342 S Powerline Rd, Pompano Beach, FL 33442
National Provider ID: 1407073299
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DYNAMIC MEDICAL REHABILITATION CENTER OF DEERFIELD BEACH, PLLC

342 S Powerline Rd, Deerfield Beach, FL 33442

Status:
Inactive
Industry:
Chiropractor's Office
Doing business as:
Dynamic Medical Rehab Center of Deerfield Beach LLC
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Jul 15, 2005
Inactive since:
Sep 23, 2011
Phone:
(954) 421-2005 (Phone)
State ID:
L05000069765
Business type:
Florida Limited Liability Company
Member, Managing Members:
Patrice Lasleur (President),Michael Bastkowski Member, Managing Member, inactive, 2489 Lob Lolly Ln, Deerfield Beach, FL 33442 (Physical)
Agent:
Bastkowski, Michael,2489 Lob Lolly Ln, Deerfield Beach, FL 33442 (Physical)
EIN:
20-3240842

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