HOLISTIC FAMILY & PAIN MANAGEMENT
Marriage and Family Therapists at 25 St, Fort Pierce, FL

License number
Florida ME91383
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. WILLIAM G TYE III DOM
Title: OWNER
Phone: (772) 467-9083
Address
Address
1905 S 25Th St, Fort Pierce, FL 34947
National Provider ID: 1003145301
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HOLISTIC FAMILY & PAIN MANAGEMENT at bizstanding.com

HOLISTIC FAMILY & PAIN MANAGEMENT, LLC

Fort Pierce, FL

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Feb 26, 2010
Inactive since:
Sep 23, 2011
Addresses:
1846 SE Prt St Lucie Blvd, Port Saint Lucie, FL 34952 (Physical)
Port Saint Lucie, FL 34988 (Mailing)
PO Box 881591, Fort Pierce, FL 34988
1905 S 25 St, Fort Pierce, FL 34947
State ID:
L10000022104
Business type:
Florida Limited Liability Company
Directors:
Rebecca A Tye Manager, Managing Member, inactive,William G. Tye Manager, Director, inactive,Adrian D. Golgotin Director, inactive
Agent:
Rebecca Tye,1905 So 25 St SUITE 100, Fort Pierce, FL 34947 (Physical)
EIN:
271484962

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