PRIEST CHIROPRACTIC INC
Anesthesiologist Assistant at Wickham Rd, Melbourne, FL

License number
Florida CH4353
Category
Chiropractic
Type
Orthopedic
Owner
Name: DR. GREGORY CHARLES PRIEST DC
Title: CEO
Phone: (321) 254-3888
Address
Address
2755 N Wickham Rd STE 104, Melbourne, FL 32935
National Provider ID: 1962671776
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRIEST CHIROPRACTIC, INC

Melbourne, FL

Status:
Inactive
Inactive reason:
CORPORATE MERGER
Registration:
Mar 15, 1995
Inactive since:
Apr 13, 2004
Addresses:
2755 N Wickham Rd SUITE 104, Melbourne, FL 32935 (Physical)
1751 Sarno Rd, Melbourne, FL 32935
State ID:
P95000021046
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
Gregory Cd.c. Priest (President, Treasurer, Secretary), 2755 N Wickham Rd, Melbourne, FL 32935 (Physical)
Agent:
John Kancilia,1795 W Nasa Blvd, Melbourne, FL 32901 (Physical)
EIN:
59-3301968

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