INJURY TREATMENT CENTER OF FORT MYERS INC
Osteopathic Medicine at College Pkwy, Fort Myers, FL

License number
Florida HCC6084
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: EVAN SADE
Title: CONSULTANT
Phone: (954) 817-9402
Address
Address 2
8595 College Pkwy SUITE A2, Fort Myers, FL 33919
2295 NW Corporate Blvd SUITE 140, Boca Raton, FL 33431
National Provider ID: 1376664565
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 FORT MYERS, INC

Fort Myers, FL  -  Boca Raton, FL

Industry:
Nonclassifiable Establishments
Registration:
Jun 18, 2004
Addresses:
8595 College Pkwy #110, Fort Myers, FL 33919 (Physical)
2295 NW Corporate Blvd 140, Boca Raton, FL 33431 (Mailing)
2295 NW Corporate Blvd, Boca Raton, FL 33431
State ID:
P04000094109
Business type:
Florida Profit Corporation
President:
Gary Brown (President), 2295 NW Corporate Blv #140, Boca Raton, FL 33431 (Physical)
Agent:
Preferred Physicians Management Services, Inc,2295 NW Corporate Blvd STE 144, Boca Raton, FL 33431 (Physical)
EIN:
201343156

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