PEMBROKE PINES THERAPY CENTER LLC
Chiropractic at Pines Blvd, Hollywood, FL

License number
Florida CH9389
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. RAFAEL FOSS D.C
Title: MM
Phone: (786) 370-1111
Address
Address 2
7857 Pines Blvd, Hollywood, FL 33024
PO Box 6455, West Palm Beach, FL 33405
National Provider ID: 1508092677
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEMBROKE PINES THERAPY CENTER LLC

Hollywood, FL  -  West Palm Beach, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 23, 2009
Inactive since:
Sep 28, 2012
Addresses:
6030 Hollywood Blvd STE 250, Hollywood, FL 33024 (Physical)
West Palm Beach, FL 33405 (Mailing)
PO Box 6455, West Palm Beach, FL 33405
4212 Northlake Blvd, West Palm Beach, FL 33410
State ID:
L09000039327
Business type:
Florida Limited Liability Company
Managing Member:
Rafael Foss Managing Member, inactive, 4212 Northlake Blvd, Palm Beach Gardens, FL 33410 (Physical)
Agent:
Foss, Rafael,4212 Northlake Blvd, Palm Beach Gardens, FL 33410 (Physical)
EIN:
26-4758337

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