EMERALD COAST BONE DENSITOMETRY
Radiology at Racetrack Rd, Fort Walton Beach, FL

License number
Florida ME0063572
Category
Radiology
Type
Body Imaging
Owner
Name: MICKI GLENN
Title: OFFICE MANAGER
Phone: (850) 864-2663
Address
Address
417 Racetrack Rd NW #B, Fort Walton Beach, FL 32547
National Provider ID: 1407878408
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EMERALD COAST BONE DENSITOMETRY at bizstanding.com

EMERALD COAST BONE DENSITOMETRY, INC

Fort Walton Beach, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 14, 1999
Inactive since:
Sep 26, 2008
Addresses:
417-B Racetrack Rd, Fort Walton Beach, FL 32547 (Physical)
417B Racetrack Rd NW, Fort Walton Beach, FL 32547
State ID:
P99000035525
Business type:
Florida Profit Corporation
Treasurer, Director, Secretary:
Michelle E Glenn Treasurer, Director, Secretary, inactive, 417-B Racetrack Rd, Fort Walton Beach, FL 32547 (Physical)
Agent:
Kevin Helmich,4481 Legendary Dr SUITE 200, Destin, FL 32540 (Physical)
EIN:
593570768

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