HIBISCUS OB/GYN PHYSICIANS, PA
Massage Therapy at Hibiscus Blvd, Melbourne, FL

License number
Florida 25405
Issued Date
Aug 16, 2010
Effective Date
Mar 15, 2012
Expiration Date
Aug 31, 2011
Category
Health Care
Type
Massage Establishment
Address
Address
330 E Hibiscus Blvd, Melbourne, FL 32901
Phone
(321) 725-1530
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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HIBISCUS OB/GYN PHYSICIANS, PA

330 E Hibiscus Blvd, Melbourne, FL 32901

Status:
Inactive
Industry:
Gynecology
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 20, 1998
Inactive since:
Sep 27, 2013
Phone:
(321) 725-1530 (Phone)
State ID:
P98000072842
Business type:
Florida Profit Corporation
Directors:
Rebecca A Wagaman Director, inactive, 330 E Hibiscus Blvd, Melbourne, FL 32901 (Physical),Patricia M Zylman President, Director, inactive, 330 E Hibiscus Blvd, Melbourne, FL 32901 (Physical),Bradford J Wolk Director, Vice President, inactive, 330 E Hibiscus Blvd, Melbourne, FL 32901 (Physical),...
Agent:
Wagaman, Rebecca,330 E Hibiscus Blvd, Melbourne, FL 32901 (Physical)
EIN:
593528184

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