SPA BLU
Medical Practice at Uptown Grayton Cir, Santa Rosa Beach, FL

License number
Florida MM16325
Category
Medical Practice
Type
Specialist
Owner
Name: KRISTA DUMBLETON LMT
Title: OWNER/LMT
Phone: (850) 231-5784
Address
Address
57 Uptown Grayton Cir STE A, Santa Rosa Beach, FL 32459
National Provider ID: 1063656791
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SPA BLU at bizstanding.com

SPA BLU INC

Santa Rosa Beach, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Aug 16, 2004
Inactive since:
Nov 9, 2009
Addresses:
57 Uptown Grayton Cir, Santa Rosa Beach, FL 32459 (Physical)
57 Uptown Grayton Cir A, Santa Rosa Beach, FL 32459 (Mailing)
State ID:
P04000118737
Business type:
Florida Profit Corporation
President, Director:
Krista Dumbleton President, Director, inactive, 57 Uptown Grayton Cir, Santa Rosa Beach, FL 32459 (Physical)
Agent:
Dumbleton, Krista,57 Uptown Grayton Cir, Santa Rosa Beach, FL 32459 (Physical)
EIN:
16-1708147

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