KRZYSZTOF CIERNIAK
Physical Therapy at Venice Ave, Venice, FL

License number
Florida PT20582
Category
Restorative Service Providers
Type
Physical Therapist
Address
Address
1500 E Venice Ave UNIT 304, Venice, FL 34292
Phone
(941) 412-1247
(941) 870-8509 (Fax)
National Provider ID: 1336436492
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Krzysztof Cierniak, age 55
303 Rio Terra, Venice, FL 34285
(941) 412-1247
Krzysztof Cierniak
Venice, FL
(941) 412-1247
Krzysztof Cierniak, age 55
303 Rio Terra, Venice, FL 34285
(941) 412-1247

Organization information

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KRZYSZTOF CIERNIAK, LLC

303 Rio Terra, Venice, FL 34285

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
Aug 6, 2012
State ID:
L12000101383
Business type:
Florida Limited Liability Company
S:
Krzysztof Cierniak (President, Secretary), 303 Rio Terra, Venice, FL 34285 (Physical),Urszula Cierniak, 303 Rio Terra, Venice, FL 34285 (Physical)
Agent:
Sari Reegler
EIN:
46-0785167

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