PROFICIO THERAPY CENTER, INC.
Physical Therapy at Weston Rd, Fort Lauderdale, FL

License number
Florida PT 21147
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: MRS. JENNIFER MAY VAN GENT P.T.
Title: DIRECTOR/ PRESIDENT
Phone: (954) 376-1511
Address
Address
1040 Weston Rd STE 307, Fort Lauderdale, FL 33326
National Provider ID: 1417040726
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PROFICIO THERAPY CENTER, INC

Fort Lauderdale, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jun 26, 2006
Inactive since:
Aug 1, 2006
Addresses:
15970 W State Rd 84 #105, Fort Lauderdale, FL 33326 (Physical)
1040 Weston Rd, Fort Lauderdale, FL 33326
62 Indian Trce, Fort Lauderdale, FL 33326
State ID:
P06000086379
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Jennifer Gent (President, Treasurer, Director, Secretary), 15970 W State Rd 84, Fort Lauderdale, FL 33326 (Physical)
Agent:
Professional The Gent Law Firm,2881 E Oakland Park Blvd STE 316, Fort Lauderdale, FL 33306 (Physical)
EIN:
20-5131945

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