Organization
JOHN A SISTI OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALAN SISTI O.D. (PRESIDENT)
(941) 966-6206
Entity
Organization
Contact information
Practice address
13140 TAMIAMI TRAIL, OSPREY, FL 34229-9211
(941) 966-5459
(941) 918-2679
Mailing address
673 CLEAR CREEK DR, OSPREY, FL 34229-6815
(941) 966-6206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
12/18/2007
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