INJURY TREATMENT CENTER OF SOUTH FLORIDA INC
Osteopathic Medicine at Glades Rd, Boca Raton, FL

License number
Florida HCC3661
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: EVAN SADE
Title: CONSULTANT
Phone: (954) 817-9402
Address
Address
2250 Glades Rd FLOOR 2ND, Boca Raton, FL 33431
National Provider ID: 1780705673
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 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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