ERICA A PROVOST
Speech Language Pathology at Ter Shr Dr, Melbourne, FL

License number
Florida 12639
Issued Date
Oct 25, 2013
Effective Date
Oct 25, 2013
Expiration Date
Dec 31, 2017
Category
Health Care
Type
Speech-Language Pathologist
Address
Address 2
151 Terrace Shores Dr, Melbourne, FL 32903
5807 Palmetto Dr, Fort Pierce, FL 34982
Phone
(561) 801-3264
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about ERICA A PROVOST at bizstanding.com

ERICA PROVOST LLC

151 Ter Shr, Indialantic, FL 32903

Registration:
Apr 20, 2015
State ID:
L15000068619
Business type:
Florida Limited Liability Company
Erica Provost, 151 Ter Shr, Indialantic, FL 32903 (Physical)
Agent:
Caruso, Steven,486 N Hbr City Blvd, Melbourne, FL 32935 (Physical)
FEI/EIN:
NONE

Speech Language Pathology licenses in Florida










Other Doctors licenses in Florida