INJURY TREATMENT CENTER OF SOUTH FLORIDA, INC
Medical Practice at Glades Rd, Boca Raton, FL

License number
Florida 202
Issued Date
Nov 19, 2001
Effective Date
Nov 19, 2001
Expiration Date
Nov 19, 2005
Category
Health Care
Type
Health Care Clinic Registration
Address
Address
1900 Glades Rd SUITE 100, Boca Raton, FL 33431
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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INJURY TREATMENT CENTER OF SOUTH FLORIDA, INC

Boca Raton, FL

Registration:
Sep 17, 1996
Addresses:
1900 Glades Rd SUITE 100, Boca Raton, FL 33431 (Physical)
2295 NW Corporate Blvd SUITE 140, Boca Raton, FL 33431 (Mailing)
State ID:
P96000077742
Business type:
Florida Profit Corporation
President, Director:
Gary Brown (President, Director), 2295 NW Corporate Blvd #140, Boca Raton, FL 33431 (Physical)
Agent:
Preferred Physicians Management Services, Inc,2295 NW Corporate Blvd STE 144, Boca Raton, FL 33431 (Physical)
EIN:
650697303

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