EMERALD COAST PATHOLOGY ASSOCIATES PA
Medical Practice at Mar Walt Dr, Fort Walton Beach, FL

License number
Florida ME66117
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: DR. ROBERT NEIL BLANCHARD M.D.
Title: PRESIDENT
Phone: (850) 863-7660
Address
Address 2
1000 Mar Walt Dr, Fort Walton Beach, FL 32547
PO Box 100559, Florence, SC 29501
National Provider ID: 1689636458
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EMERALD COAST PATHOLOGY ASSOCIATES, PA

1000 Mar Walt Dr, Fort Walton Beach, FL 32547

Industry:
Pathology Lab
Registration:
Jun 12, 1997
Site:
ecpathology.com
State ID:
P97000052378
Business type:
Florida Profit Corporation
Directors:
Robert Nm.d. Blanchard (Director), C/O 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 (Physical),Neil Asthana (Director), C/O Robert Blanchard Md, Fort Walton Beach, FL 32547 (Physical)
Agent:
Robert Blanchard,C/O Pathology, Fort Walton Beach, FL 32547 (Physical)
EIN:
593451200
Categories:
Laboratories - Medical

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