ERNEST S. CARUSO, DC, PA
Physical Therapy at Boca Raton Blvd, Boca Raton, FL

License number
Florida CH7975
Category
Chiropractic
Type
Chiropractor
License number
Florida PT21879
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: LAURA B BURKE JR. MCC
Title: MCC
Phone: (954) 563-4472
Address
Address
3350 NW Boca Raton Blvd SUITE A24, Boca Raton, FL 33431
National Provider ID: 1871507152
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERNEST S. CARUSO, D.C., PA

Boca Raton, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Jan 23, 2003
Inactive since:
Mar 20, 2012
Addresses:
3350 NW Boca Raton Blvd A24, Boca Raton, FL 33431 (Physical)
3350 NW Boca Raton Blvd, Boca Raton, FL 33431
State ID:
P03000008460
Business type:
Florida Profit Corporation
President, Vice Presidents:
Caruso, Ernest S, Jr, 3350 NW Boca Raton Blvd Suitea24, Boca Raton, FL 33431 (Physical),Ernest S. Caruso (President, Vice President)
EIN:
010766606

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