T BOLAND ARNP LMFT PHDC INC
Nursing at 148 Ave, Fort Lauderdale, FL

License number
Florida MT1542
Category
Marriage and Family Therapists
Type
Marriage & Family Therapist
License number
Florida ARNP1838792
Category
Nursing
Type
Registered Nurse
Owner
Name: MS. TERESA MARIE BOLAND ARNP LMFT PHDC
Title: OWNER
Phone: (954) 577-0008
Address
Address
555 SW 148Th Ave STE 130, Fort Lauderdale, FL 33325
National Provider ID: 1114988607
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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T BOLAND ARNP LMFT PHDC, INC

Fort Lauderdale, FL

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Aug 31, 2005
Inactive since:
Sep 23, 2011
Addresses:
2645 Executive Park Dr, Fort Lauderdale, FL 33331 (Physical)
1112 Weston Rd Pmb 186, Fort Lauderdale, FL 33326 (Mailing)
1112 Weston Rd, Fort Lauderdale, FL 33326
State ID:
P05000121489
Business type:
Florida Profit Corporation
Secretarys:
T Boland, 1112 Weston Rd Pmb186, Fort Lauderdale, FL 33326 (Physical),T. Boland Secretary, inactive
Agent:
Boland, T,1112 Weston Rd, Fort Lauderdale, FL 33326 (Physical)
EIN:
20-3393625

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