ORTHOSPORT
Managed Care Organizations at Military Trl, West Palm Beach, FL

License number
Florida PT19952
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MRS. KERRIE BROOKS DPT,ATC
Title: CO OWNER
Phone: (561) 328-9298
Address
Address
8371 N Military Trl #106, West Palm Beach, FL 33410
National Provider ID: 1477832897
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ORTHOSPORT at bizstanding.com

ORTHOSPORT GROUP PL

West Palm Beach, FL

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Feb 26, 2008
Inactive since:
Apr 2, 2013
Addresses:
8371 N Military Trl #106, Palm Beach Gardens, FL 33410 (Physical)
161 Via Condado Way, West Palm Beach, FL 33418
State ID:
L08000020048
Business type:
Florida Limited Liability Company
Managing Members:
Brooks-Angle, Kerrie, 8371 N Military Trl #106, Palm Beach Gardens, FL 33410 (Physical),James Saylor Managing Member, inactive, 8371 N Military Trl #106, Palm Beach Gardens, FL 33410 (Physical),Lisa Fossett Managing Member, inactive, 8371 N Military Trl #106, Palm Beach Gardens, FL 33410 (Physical),...
EIN:
113836724

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