IMAGE CHIROPRACTIC RE-HAB LLC
Anesthesiologist Assistant at Evans Ave, Fort Myers, FL

License number
Florida CH8452
Category
Chiropractic
Type
Rehabilitation
Owner
Name: DR. JUDE HENRY VALLES DC
Title: PHYSICIAN
Phone: (561) 707-1798
Address
Address
4048 Evans Ave STE 208, Fort Myers, FL 33901
National Provider ID: 1477907079
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IMAGE CHIROPRACTIC RE-HAB LLC

Fort Myers, FL

Industry:
Chiropractor's Office
Registration:
Mar 21, 2014
Addresses:
4048 Evans Ave 208, Fort Myers, FL 33901 (Physical)
4048 Evans Ave, Fort Myers, FL 33901
State ID:
L14000047111
Business type:
Florida Limited Liability Company
Manager:
Jude H Valles (Manager), 4570 NW 18 Ave APT 601, Pompano Beach, FL 33064 (Physical)
Agent:
Jude Valles,4570 NW 18 Ave APT 601, Pompano Beach, FL 33064 (Physical)
EIN:
46-4990473

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