Organization
MADDEN INVESTMENTS LLC
Active
Organization
MADDEN INVESTMENTS LLC
Active
Parent organization
MELBOURNE ATHLETIC CLUB
Other names
Melbourne Athletic Club Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MELBOURNE ATHLETIC CLUB
Authorized official
RICK J LORRAINE (OWNER)
(321) 254-9777
Entity
Organization
Contact information
Practice address
1411 HIGHLAND AVE, MELBOURNE, FL 32935-6518
(321) 254-9777
Mailing address
1411 HIGHLAND AVE, MELBOURNE, FL 32935-6518
(321) 254-9777
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HS7394
FL
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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