Healthcare Provider Details

I. General information

NPI: 1700743242
Provider Name (Legal Business Name): CIENONE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25591 TECHNOLOGY BLVD
PUNTA GORDA FL
33950
US

IV. Provider business mailing address

25591 TECHNOLOGY BLVD
PUNTA GORDA FL
33950
US

V. Phone/Fax

Practice location:
  • Phone: 979-289-7828
  • Fax:
Mailing address:
  • Phone: 979-289-7828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL A. PEAT
Title or Position: MANAGER
Credential: EMT-S
Phone: 941-639-9119