KURT B. REPKE, M.D., P.A.
Medical Practice at Virginia St, Dunedin, FL

License number
Florida ME0079899
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. KURT BRYAN REPKE M.D.
Title: PRESIDENT
Phone: (727) 736-7873
Address
Address 2
646 Virginia St FLOOR 5TH, Dunedin, FL 34698
1965 Cove Ln, Clearwater, FL 33764
National Provider ID: 1154530707
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KURT B. REPKE, M.D., PA

Dunedin, FL  -  Clearwater, FL

Industry:
Medical Doctor's Office
Doing business as:
Kurt B Repke MD PA
Registration:
May 8, 2003
Addresses:
646 Virginia St 5 Fl 5 FL OOR, Dunedin, FL 34698 (Physical)
1965 Cv Ln, Clearwater, FL 33764 (Mailing)
646 Virginia St, Dunedin, FL 34698
State ID:
P03000051205
Business type:
Florida Profit Corporation
Vice Presidents:
Kurt B Repke (Medical Doctor, President, Secretary, Director), 1965 Cv Ln, Clearwater, FL 33764 (Physical),Joan L Repke (Vice President), 1965 Cv Ln, Clearwater, FL 33764 (Physical)
Agent:
Repke, Kurt Br, Dr,1965 Cv Ln, Clearwater, FL 33764 (Physical)
EIN:
861062207

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