INJURY TREATMENT CENTER OF BOYNTON BEACH INC
Osteopathic Medicine at Congress Ave, Boynton Beach, FL

License number
Florida HCC3660
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: EVAN SADE
Title: CONSULTANT
Phone: (954) 817-9402
Address
Address 2
1325 S Congress Ave, Boynton Beach, FL 33426
2295 NW Corporate Blvd SUITE 140, Boca Raton, FL 33431
National Provider ID: 1760503015
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INJURY TREATMENT CENTER OF BOYNTON BEACH, INC

Boynton Beach, FL  -  Boca Raton, FL

Industry:
Nonclassifiable Establishments
Registration:
Feb 12, 1999
Addresses:
1325 S Congress Ave #105, Boynton Beach, FL 33426 (Physical)
2295 NW Corporate Blvd #140, Boca Raton, FL 33431 (Mailing)
State ID:
P99000014794
Business type:
Florida Profit Corporation
President:
Gary Brown (President), 2295 NW Corporate Blvd #140, Boca Raton, FL 33431 (Physical)
Agent:
Ppms,2295 NW Corporate Blvd #140, Boca Raton, FL 33431 (Physical)
EIN:
650904172

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