TIDWELL'S ORTHOTICS, LLC
Suppliers at 126 Ave, Pompano Beach, FL

License number
Florida PED117
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: JODI TIDWELL C.PED, L.PED
Title: PEDORTHIST/CEO
Phone: (954) 346-5402
Address
Address
4450 NW 126Th Ave STE 106, Pompano Beach, FL 33065
National Provider ID: 1326138306
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TIDWELL'S ORTHOTICS, LLC at bizstanding.com

TIDWELL'S ORTHOTICS, LLC

Pompano Beach, FL  -  Fort Lauderdale, FL

Status:
Inactive
Doing business as:
Tidwells Orthotics and Prosthe<br>Tidwell's Orthotics
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Jan 6, 2006
Inactive since:
May 25, 2013
Phone:
(954) 346-5402 (Phone)
Addresses:
4450 NW 126 Ave STE 106, Pompano Beach, FL 33065 (Physical)
16731 SW 62 St, Fort Lauderdale, FL 33331
State ID:
L06000002231
Business type:
Florida Limited Liability Company
Principal, Manager, Managing Members:
Jodi Tidwell Chief Executive Officer, Pedorthist/ceo, Manager, Managing Member, inactive,Chris Tidwell Principal, Manager, Managing Member, inactive, 4450 NW 126 Ave, Pompano Beach, FL 33065 (Physical)
Agent:
Jumping Jax Tax Inc
EIN:
20-4064846

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