Organization
KRISLAINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD F CARLSTROM MD (DOCTOR)
(941) 388-4408
Entity
Organization
Contact information
Practice address
500 JOHN RINGLING BLVD, SARASOTA, FL 34236-1430
(941) 388-4408
Mailing address
500 JOHN RINGLING BLVD, SARASOTA, FL 34236-1430
(941) 388-4408
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME46678
FL
Other
Enumeration date
04/20/2007
Last updated
05/04/2009
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