EMERALD COAST GASTROENTEROLOGY, PA
Osteopathic Medicine at Racetrack Rd, Fort Walton Beach, FL

License number
Florida ME0068568
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: ANDREW FRANKLIN RINGEL MD
Title: PRESIDENT PHYSICIAN
Phone: (850) 863-5990
Address
Address
417A Racetrack Rd NW SUITE 2, Fort Walton Beach, FL 32547
National Provider ID: 1417937525
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EMERALD COAST GASTROENTEROLOGY, PA

Fort Walton Beach, FL

Registration:
Aug 27, 1999
Phone:
(850) 863-5990 (Phone)
Addresses:
417 Racetrack Rd NW SUITE 2, Fort Walton Beach, FL 32547 (Physical)
417A Racetrack Rd NW STE 2, Fort Walton Beach, FL 32547
State ID:
P99000076782
Business type:
Florida Profit Corporation
Secretary, President:
Andrew Fm.d. Ringel (Secretary, President), 417A Racetrack Rd NW, Fort Walton Beach, FL 32547 (Physical)
Agent:
Andrew Ringel,417 Racetrack Rd NW SUITE 2, Fort Walton Beach, FL 32547 (Physical)
EIN:
593594552

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