| Krislaine Inc | |
|
500 John Ringling Blvd Sarasota FL 34236-1430 | |
| (941) 388-4408 | |
| Not Available |
| Full Name | Krislaine Inc |
|---|---|
| Speciality | General Practice |
| Location | 500 John Ringling Blvd, Sarasota, Florida |
| Authorized Official Name and Position | Edward F Carlstrom (DOCTOR) |
| Authorized Official Contact | 9413884408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krislaine Inc 500 John Ringling Blvd Sarasota FL 34236-1430 Ph: (941) 388-4408 | Krislaine Inc 500 John Ringling Blvd Sarasota FL 34236-1430 Ph: (941) 388-4408 |
| NPI Number | 1649497447 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649497447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME46678 (Florida) | Primary |
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