FLORIDA SPINE & REHAB CENTER, LLC
Anesthesiologist Assistant at Semoran Blvd, Winter Park, FL

License number
Florida CH7566
Category
Chiropractic
Type
Orthopedic
Owner
Name: TY ANTHONY TRUDEAU DC
Title: PHYSICIAN/OWNER
Phone: (407) 772-2225
Address
Address
483 N Semoran Blvd STE 104, Winter Park, FL 32792
National Provider ID: 1396032793
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FLORIDA SPINE & REHAB CENTER, LLC at bizstanding.com

FLORIDA SPINE & REHAB CENTER, LLC

Winter Park, FL

Status:
Inactive
Inactive reason:
LC AMENDMENT AND NAME CHANGE
Registration:
Mar 9, 2010
Inactive since:
May 24, 2010
Addresses:
483 N Semoran Blvd 104, Winter Park, FL 32792 (Physical)
483 N Semoran Blvd, Winter Park, FL 32792
State ID:
L10000026823
Business type:
Florida Limited Liability Company
Managing Members:
Ty A.d.c. Trudeau (Managing Member), 3160 Lk Breeze Crk, Saint Cloud, FL 34771 (Physical),Matthew T. Mountain Managing Member, inactive
Agent:
Lorraine Powell,2729 Harriet Dr, Orlando, FL 32812 (Physical)
EIN:
27-2147589

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