EMERALD COAST PULMONOLOGY, PA
Osteopathic Medicine at Hickory Ave, Crestview, FL

License number
Florida ME63871
Category
Osteopathic Medicine
Type
Critical Care Medicine
License number
Florida ME63871
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: LAURIE KOSZUTA
Title: DIRECTOR
Phone: (850) 423-1311
Address
Address
502 E Hickory Ave, Crestview, FL 32536
National Provider ID: 1114013018
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EMERALD COAST PULMONOLOGY, PA at bizstanding.com

EMERALD COAST PULMONOLOGY, PA

Crestview, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Sleep Medicine
Doing business as:
Emerald Coast Pulmonology<br>Emerald Coast Pulmonology - John J Koszuta MD
Inactive reason:
Cancel Adm Diss/rev
Registration:
Jun 29, 2000
Inactive since:
Oct 1, 2009
Site:
echa.net, ecpulm.com
Phone:
(850) 423-1311 (Phone)
Description:
Providing the highest caliber Pulmonary, Critical Care and Sleep Medicine services
Addresses:
502 E Hickory, Crestview, FL 32536 (Physical)
550 Redstone Ave W, Crestview, FL 32536
350 Redstone Ave W, Crestview, FL 32536
State ID:
P00000063604
Business type:
Florida Profit Corporation
Director, Pulmonary Diseasess:
Robert M. Fagan,Mauderem Kirby (Office Manager),Lauri Koszuta (Director, Principal),...
EIN:
593655961
Licensed:
Yes
Service area:
Northwest Florida
Senior discount:
No
Categories:
Internal Medicine Physicians & Surgeons, Physicians & Surgeons, Pulmonary & Respiratory Physicians & Surgeons
Warranties:
No
Open Hours:
Mon 08.00 AM - 05.00 PM, Tue 08.00 AM - 05.00 PM, Wed 08.00 AM - 05.00 PM, ...
Certifications:
Doctor Is American Board Certified, Doctor Is European Board Certified
Additional:
A Network of High Quality, Multi-Specialty Physicians & Providers

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida