ABIGAIL NISAN
Medical Practice at Harris Ave, San Angelo, TX

License number
Florida 115461
Issued Date
Mar 19, 2013
Effective Date
Jan 30, 2015
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address
120 E Harris Ave, San Angelo, TX 76903
Phone
(325) 481-1897

Organization information

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ABIGAIL NISAN, MD, LLC

1934 Pne Vly, San Angelo, TX 76904

Registration:
Jan 21, 2014
State ID:
L14000011219
Business type:
Florida Limited Liability Company
Entity State:
FL
Abigail Nisan, 3649 Cedar Run Rd, Abilene, TX 79606 (Physical)
Agent:
Giovinco, Ian S, Esq,1219 N Franklin St, Tampa, FL 33602 (Physical)
FEI/EIN:
46-4574275