GEORGE D. EDLUND O.D., P.A.
Optometry at Eglin Pkwy, Fort Walton Beach, FL

License number
Florida OP0002174
Category
Optometry
Type
Optometrist
Owner
Name: GEORGE D. EDLUND O.D., P.A.
Title: OWNER/ PRESIDENT
Phone: (850) 244-5577
Address
Address
50 NE Eglin Pkwy, Fort Walton Beach, FL 32548
National Provider ID: 1124298401
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GEORGE D. EDLUND, O.D., PA

50 Eglin Pkwy NE, Fort Walton Beach, FL 32548

Status:
Inactive
Industry:
Ret Optical Goods Ret Misc Merchandise
Inactive reason:
AMENDMENT AND NAME CHANGE
Registration:
Sep 12, 2000
Inactive since:
Jan 16, 2001
Phone:
(850) 862-2020 (Phone)
State ID:
P00000086154
Business type:
Florida Profit Corporation
President, Treasurer, Secretary:
George D Edlund (President, Treasurer, Secretary), 50 Eglin Pkwy NE, Fort Walton Beach, FL 32548 (Physical)
Agent:
George Edlund,50 Eglin Pkwy NE, Fort Walton Beach, FL 32548 (Physical)
EIN:
593669177

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