EMERALD COAST PM&R ASSOCIATES, PA.
Physical Therapy at 9 Ave, Pensacola, FL

License number
Florida ME91918
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: DAVID W FISHER MD
Title: MEDICAL DOCTOR
Phone: (850) 484-4717
Address
Address
6706 N 9Th Ave SUITE B1, Pensacola, FL 32504
National Provider ID: 1346534518
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EMERALD COAST PM&R ASSOCIATES PA

Pensacola, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Mar 17, 2009
Inactive since:
Feb 7, 2011
Addresses:
6901-A N 9 Ave SUITE 198, Pensacola, FL 32504 (Physical)
6901-A N 9 Ave, Pensacola, FL 32504 (Mailing)
707 E Cervantes St, Pensacola, FL 32501
6901A N 9 Ave, Pensacola, FL 32504
State ID:
P09000024530
Business type:
Florida Profit Corporation
President, Secretary:
David W Fisher (President, Secretary), 6901-A N 9 Ave, Pensacola, FL 32504 (Physical)
Agent:
Fisher, Monica,6901-A N 9 Ave SUITE 198, Pensacola, FL 32504 (Physical)
EIN:
352375537

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