PAIN AND SPINE PHYSIO REHAB LLC
Ambulatory Health at B, Saint Augustine, FL

License number
Florida PT7862
Category
Restorative Service Providers
Type
Physical Therapist
License number
Florida PT0007862
Category
Ambulatory Health
Type
Rehabilitation
Owner
Name: MR. REGINO IRWIN B REYES PT
Title: AMBR
Phone: (518) 407-3422
Address
Address
100 B St SUITE 408, Saint Augustine, FL 32086
National Provider ID: 1073918371
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PAIN AND SPINE PHYSIO REHAB LLC at bizstanding.com

PAIN AND SPINE PHYSIO REHAB LLC

Saint Augustine, FL  -  Ponte Vedra, FL

Registration:
May 12, 2014
Addresses:
100 Southpark Blvd STE 408 B, Saint Augustine, FL 32086 (Physical)
3787 Palm Vly Rd, Ponte Vedra, FL 32082
State ID:
L14000076992
Business type:
Florida Limited Liability Company
S:
Regino Irwin B Reyes, 100 Southpark Blvd STE 408 B, Saint Augustine, FL 32086 (Physical),Regino Irwin B Reyes
Agent:
Superbiz Registerd Agent, Inc,2761 Vis Pkwy UNIT E4, West Palm Beach, FL 33411 (Physical)
EIN:
46-5656020

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