KINETIC CHIROPRACTIC AND WELLNESS, P.A.
Chiropractic at 4 Ave, Delray Beach, FL

License number
Florida CH9762
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. STEPHANIE MARIE HATH D.C.
Title: PRESIDENT/DOCTOR
Phone: (612) 207-1322
Address
Address
185 NE 4Th Ave SUITE 101, Delray Beach, FL 33483
National Provider ID: 1063644847
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KINETIC CHIROPRACTIC AND WELLNESS, PA

Delray Beach, FL  -  Boca Raton, FL

Status:
Inactive
Industry:
Health/Allied Services
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Jul 16, 2009
Inactive since:
Sep 24, 2010
Addresses:
185 NE 4 Ave SUITE 101, Delray Beach, FL 33483 (Physical)
8240 Texas Trl, Boca Raton, FL 33487 (Mailing)
State ID:
P09000060696
Business type:
Florida Profit Corporation
Director, Vice Presidents:
Stephanie Hath President, Director, inactive, 8240 Texas Trl, Boca Raton, FL 33487 (Physical),Jared Davis Director, Vice President, inactive, 8240 Texas Trl, Boca Raton, FL 33487 (Physical)
Agent:
Hath, Stephanie,8240 Texas Trl, Boca Raton, FL 33487 (Physical)
EIN:
NO-NE

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