| Entity Name: | BRYAN K. ISBELL, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Apr 1989 (36 years ago) |
| Document Number: | K80479 |
| FEI/EIN Number | 592943468 |
| Address: | 365 Pathways Dr, Inlet Beach, FL, 32461, US |
| Mail Address: | 365 Pathways Dr, Inlet Beach, FL, 32461, US |
| ZIP code: | 32461 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104174572 | 2012-08-16 | 2012-08-16 | 257 W BRANDON BLVD, BRANDON, FL, 335115103, US | 257 W BRANDON BLVD, BRANDON, FL, 335115103, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-685-1079 |
Authorized person
| Name | BRYAN K ISBELL |
| Role | CHIROPRACTOR OWNER |
| Phone | 8136851079 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH4943 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ISBELL BRYAN | Agent | 365 Pathways Dr, Inlet Beach, FL, 32461 |
| Name | Role | Address |
|---|---|---|
| ISBELL, BRYAN K. | President | 365 Pathways Dr, Inlet Beach, FL, 32461 |
| Name | Role | Address |
|---|---|---|
| ISBELL, BRYAN K. | Director | 365 Pathways Dr, Inlet Beach, FL, 32461 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
