KRISLAINE INC
Osteopathic Medicine at John Ringling Blvd, Sarasota, FL

License number
Florida ME46678
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: EDWARD F CARLSTROM MD
Title: DOCTOR
Phone: (941) 388-4408
Address
Address
500 John Ringling Blvd, Sarasota, FL 34236
National Provider ID: 1649497447
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KRISLAINE INCORPORATED

Sarasota, FL

Industry:
Nonclassifiable Establishments
Registration:
May 20, 2002
Addresses:
2650 Bahia Vis St #207, Sarasota, FL 34239 (Physical)
500 John Ringling Blvd, Sarasota, FL 34236
State ID:
P02000055846
Business type:
Florida Profit Corporation
President:
Edward F Carlstrom (President), 500 John Ringling Blvd, Sarasota, FL 34236 (Physical)
Agent:
Carlstrom, Edward,2650 Bahia Vis St #207, Sarasota, FL 34239 (Physical)
EIN:
320021456

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