THERAPEUTIC SPECIALISTS LLC
Physical Therapy at 26 Ter, Fort Lauderdale, FL

License number
Florida PT18168
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: MR. MATTHEW ST AIMEE DPT
Title: OWNER/DIRECTOR
Phone: (786) 247-4630
Address
Address
2962 SW 26Th Ter, Fort Lauderdale, FL 33312
National Provider ID: 1104121441
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THERAPEUTIC SPECIALISTS, LLC

Fort Lauderdale, FL

Status:
Inactive
Doing business as:
Therapeutic Specialist
Inactive reason:
LC AMENDMENT
Registration:
Jul 22, 2010
Inactive since:
Nov 23, 2010
Phone:
(954) 514-9331 (Phone)
Addresses:
2962 SW 26 Ter SUITE 103, Fort Lauderdale, FL 33312 (Physical)
1000 SW 134 Ave, Fort Lauderdale, FL 33325
State ID:
L10000077777
Business type:
Florida Limited Liability Company
Managing Members:
Kristin Murillo (Principal, Managing Member), 1000 SW 134 Ave, Fort Lauderdale, FL 33325 (Physical),Prida Maylor (Managing Member), 2962 SW 26 Ter, Fort Lauderdale, FL 33312 (Physical),Matthew St Aimee Managing Member, inactive
Agent:
Murillo, Kristin,1000 SW 134 Ave, Fort Lauderdale, FL 33325 (Physical)
EIN:
27-3050501

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