SHAWN T. EGAN, PA
Chiropractic at Eau Gallie Blvd, Melbourne, FL

License number
Florida CH4130
Category
Chiropractic
Type
Chiropractor
Owner
Name: MR. SHAWN T. EGAN DC, PA
Title: CHIROPRACTOR
Phone: (321) 254-3630
Address
Address
1310 W Eau Gallie Blvd STE A, Melbourne, FL 32935
National Provider ID: 1154627867
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALLIED CHIROPRACTIC SERVICES DR. SHAWN T. EGAN, PA

Melbourne, FL

Status:
Inactive
Doing business as:
Allied Chiropractic Services Dr. Shawn T. Egan
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 23, 1983
Inactive since:
Nov 9, 1990
Addresses:
1500 W Eau Gallie Bl B2, Melbourne, FL 32935 (Physical)
1500 W Eau Gallie Blvd, Melbourne, FL 32935
State ID:
G44934
Business type:
Florida Profit Corporation
President, Director:
Shawn T Egan President, Director, inactive, 2145 Sarno Rd, Melbourne, FL (Physical)
EIN:
592323519

DR. SHAWN T. EGAN, PA

1310 W Eau Gallie Blvd STE A, Melbourne, FL 32935

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Oct 2, 1989
Inactive since:
Oct 21, 2004
State ID:
L20471
Business type:
Florida Profit Corporation
Director:
Shawn T. Egan (Director), 100 Windward Way, Satellite Beach, FL 32937 (Physical)
Agent:
Motty, Rob,6767 N Wickham Rd SUITE 305, Melbourne, FL 32940 (Physical)
EIN:
59-2968023

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