ST JUDE PROFESSIONAL CARE INC
Physical Therapy at Pines Blvd, Hollywood, FL

License number
Florida PT25877
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: NICOLE NICODEMO PT
Title: OWNER
Phone: (786) 663-6394
Address
Address
9806 Pines Blvd, Hollywood, FL 33024
National Provider ID: 1558743666
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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St Jude Professional Care Inc

Hollywood, FL

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Doing business as:
St. Jude Professional Care, Inc
Registration:
Jan 4, 2011
Addresses:
900 SW 142 Ave, Hollywood, FL 33027
2051 Renaissance Blvd, Hollywood, FL 33025
1001 SW 141 Ave, Hollywood, FL 33027
State ID:
P11000000933
Business type:
Domestic for Profit Corporation
Owner, Pr, Presidents:
Nicole Nicodermo (Pr),Nicole R. Nicodemo (Owner, Pr, President)

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