KATHERINE HERNANDEZ
Restorative Service Providers at Siesta Key Trl, Pompano Beach, FL

License number
Florida PTA20195
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
715 Siesta Key Trl APT 1422, Pompano Beach, FL 33441
Phone
(954) 654-4343
National Provider ID: 1679786586
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KATHERINE HERNANDEZ at bizstanding.com

KATHERINE HERNANDEZ, PA

4027 NW 62 Dr, Pompano Beach, FL 33073

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 7, 2007
Inactive since:
Sep 24, 2010
State ID:
P07000100016
Business type:
Florida Profit Corporation
Principal, Presidents:
Katherine Ben-David President, inactive, 4027 NW 62 Dr, Pompano Beach, FL 33073 (Physical),Katherine Hernandez Principal, President, inactive
Agent:
Ben-David, Katherine,4027 NW 62 Dr, Pompano Beach, FL 33073 (Physical)
EIN:
26-0872006

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