HEADACHE, PAIN & INJURY CENTER, INC.
Ambulatory Health at 2 Ave, Boca Raton, FL

License number
Florida ME71689
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: DR. FRANK URBAN JR. M.D., M.S.
Title: OWNER
Phone: (561) 997-0900
Address
Address
4730 NW 2Nd Ave STE 101, Boca Raton, FL 33431
National Provider ID: 1740507300
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HEADACHE, PAIN & INJURY CENTER, INC

Boca Raton, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Headache Pain & Injury Center
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jun 2, 2000
Inactive since:
Dec 26, 2013
Phone:
(561) 997-0900 (Phone)
Addresses:
4730 NW 2 Ave SUITE 101, Boca Raton, FL 33431 (Physical)
4730 NW Boca Raton Blvd, Boca Raton, FL 33431
State ID:
P00000056382
Business type:
Florida Profit Corporation
Director, Secretary, Principals:
Frank Ejr. Urban (President, Treasurer, Director, Vice President, Neurology), 4730 NW 2 Ave SUITE 101, Boca Raton, FL 33431 (Physical),Mia L. Celento Director, Secretary, Principal, inactive
Agent:
Urban, Frank E, Jr,4730 NW 2 Ave, Boca Raton, FL 33431 (Physical)
EIN:
65-1019794
Categories:
Clinics, Neurology Physicians & Surgeons, Physicians & Surgeons
Specialties:
Neurology
Payment options:
American Express, Visa

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