PAIGE KREEGEL MD PA
Osteopathic Medicine at Tamiami Trl, Port Charlotte, FL

License number
Florida ME42565
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. PAIGE VANIER KREEGEL M.D.
Title: PRESIDENT
Phone: (941) 629-4888
Address
Address
3420 Tamiami Trl SUITE 2, Port Charlotte, FL 33952
National Provider ID: 1235176116
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAIGE KREEGEL, M.D., PA

Port Charlotte, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 28, 2001
Inactive since:
Sep 24, 2010
Addresses:
3821 Tamiami Trl #321, Port Charlotte, FL 33952 (Physical)
3420 Tamiami Trl, Port Charlotte, FL 33952
State ID:
P01000065237
Business type:
Florida Profit Corporation
Director:
Paige M.d. Kreegel Director, inactive, 2081 Sandy Pne, Punta Gorda, FL 33982 (Physical)
Agent:
Paige Kreegel,3821 Tamiami Trl #321, Port Charlotte, FL 33952 (Physical)
EIN:
65-1117653

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