LISA CHMIELEWSKI MD PA
Osteopathic Medicine at Waldemere St, Sarasota, FL

License number
Florida ME73458
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: DR. I LISA CHMIELEWSKI MD
Title: PHYSICIAN/OWNDER
Phone: (941) 809-2727
Address
Address
1921 Waldemere St STE 301, Sarasota, FL 34239
National Provider ID: 1134372105
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LISA CHMIELEWSKI, MD, PA

Sarasota, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
May 29, 2001
Inactive since:
Sep 27, 2013
Addresses:
1921 Waldemere St 301, Sarasota, FL 34239 (Physical)
1852 Hillview St, Sarasota, FL 34239
1921 Waldemere St, Sarasota, FL 34239
State ID:
P01000055046
Business type:
Florida Profit Corporation
Director:
Lisa Chmielewski Director, inactive, 1921 Waldemere St, Sarasota, FL 34239 (Physical)
Agent:
Blalock, Walters, Held & Johnson, Pa,802 11 St W, Bradenton, FL 34205 (Physical)
EIN:
651117486

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