Licensee Detail

L069062
PATRIOT HEALTH, INC.
2540 METROCENTRE BLVD SUITE #5
WEST PALM BEACH, FL 33407
2540 METROCENTRE BLVD SUITE #5
WEST PALM BEACH, FL 33407
CORPORATEAFFAIRS@CCGFAMILY.COM
(516) 576-9264Ext. 206
Palm Beach
8869302
TRACY BOURANDAS (P073367)

Valid Licenses
Type Issue Date Qualifying Appointment
AGENCY LICENSE (2105) 1/28/2014 Appointment not required for this license type.
Active Appointments
No active appointments found.
Invalid Licenses
Type Issue Date Status
NON-RESIDENT AGENCY LICENSURE (9105) 8/27/2010 INVALID
NON-RESIDENT AGENCY LICENSURE (9105) 1/28/2014 INVALID
Inactive Appointments
No inactive appointments found.
Agency Locations
No Agency Location information found.