RANDALL A RIEGLER MD PA
Medical Practice at Baymeadows Way, Jacksonville, FL

License number
Florida ME0050465
Category
Medical Practice
Type
Otolaryngology
Owner
Name: RANDALL ALBERT RIEGLER MD
Title: OWNER
Phone: (904) 448-4640
Address
Address
8614 Baymeadows Way SUITE 101, Jacksonville, FL 32256
National Provider ID: 1023354461
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RANDALL A. RIEGLER, M.D., PA

Jacksonville, FL

Status:
Inactive
Inactive reason:
Voluntary Dissolution
Registration:
Dec 30, 1993
Inactive since:
Feb 14, 2002
Addresses:
4555 Emerson Expy STE 120, Jacksonville, FL 32207 (Physical)
4555 Emerson St, Jacksonville, FL 32207
State ID:
P94000000077
Business type:
Florida Profit Corporation
Director:
Randall A Riegler Director, inactive, 836 Prudential Dr SUITE 1505, Jacksonville, FL 32207 (Physical)
Agent:
Brant Moore Sapp Macdonald & Wells Pa,50 N Laura St SUITE 3100, Jacksonville, FL 32202 (Physical)
EIN:
593218505

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