PETER KOZLOWSKI, MD
Marriage and Family Therapists at Emerald Coast Pkwy, Destin, FL

License number
Florida R-9300
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
License number
Florida ME122913
Category
Osteopathic Medicine
Type
Family Medicine
Address
Address
36468 Emerald Coast Pkwy SUITE 1101, Destin, FL 32541
Phone
(850) 215-2337
(850) 855-4045 (Fax)
National Provider ID: 1548558778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PETER KOZLOWSKI at bizstanding.com

PETER KOZLOWSKI, M.D., PA

Fort Walton Beach, FL  -  Destin, FL

Registration:
Sep 22, 2014
Addresses:
2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547 (Physical)
684 Emerald Bay Dr, Destin, FL 32541 (Mailing)
State ID:
P14000078354
Business type:
Florida Profit Corporation
President:
Peter Kozlowski (President), 684 Emerald Bay Dr, Destin, FL 32541 (Physical)
Agent:
David Pleat,4477 Legendary Dr SUITE 202, Destin, FL 32541 (Physical)
EIN:
47-1899691

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