THERAPY SOURCE SOLUTIONS,LLC
Physical Therapy at Dan Ct, Melbourne, FL

License number
Florida PT20357
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: DR. ROLLANDA FAYETTE MCCOY DPT
Title: PRESIDENT
Phone: (321) 724-2911
Address
Address
1917 Dan Ct NE, Melbourne, FL 32905
National Provider ID: 1689968158
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THERAPY SOURCE SOLUTIONS, LLC

Melbourne, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 21, 2011
Inactive since:
Sep 27, 2013
Addresses:
4651 Babcock St NE #18, Palm Bay, FL 32905 (Physical)
1917 Dan Ct NE, Melbourne, FL 32905
State ID:
L11000033820
Business type:
Florida Limited Liability Company
Managing Member:
Rollanda F Mccoy Managing Member, inactive, 1179 Santa Fe St, Palm Bay, FL 32909 (Physical)
Agent:
Rollanda Mccoy,1179 Santa Fe St, Palm Bay, FL 32909 (Physical)
EIN:
45-0856843

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