SPACE COAST LYMPHEDEMA CLINIC LLC
Occupational Therapy at Spyglass Hill Rd, Melbourne, FL

License number
Florida PT14733
Category
Restorative Service Providers
Type
Physical Therapist
License number
Florida OT12356
Category
Restorative Service Providers
Type
Occupational Therapist
Owner
Name: MRS. ROSANNE BESSENAIRE PT, CLT, LANA
Title: CEO
Phone: (321) 241-6543
Address
Address
8055 Spyglass Hill Rd SUITE 103, Melbourne, FL 32940
National Provider ID: 1477959856
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SPACE COAST LYMPHEDEMA CLINIC LLC at bizstanding.com

SPACE COAST LYMPHEDEMA CLINIC LLC

Melbourne, FL

Status:
Inactive
Inactive reason:
LC AMENDMENT AND NAME CHANGE
Registration:
Aug 6, 2014
Inactive since:
Dec 15, 2014
Addresses:
8055 Spyglass Hl Rd STE 103, Melbourne, FL 32940 (Physical)
2099 Lionel Dr, Melbourne, FL 32940
State ID:
L14000123405
Business type:
Florida Limited Liability Company
Managers:
Marcia Jeddrie (Manager), 434 Wynfield Cir, Rockledge, FL 32955 (Physical),Rosanne Bessenaire (Manager), 2099 Lionel Dr, Melbourne, FL 32940 (Physical)
Agent:
Bessenaire, Rosanne,8055 Spyglass Hl Rd, Melbourne, FL 32940 (Physical)
EIN:
47-2739231

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