# DAVID R DRIESBACH DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821283706
- **Authorized official:** LISA SEVICK (OFFICE MANAGER)
- **Authorized official phone:** (239) 540-4500

## Contact information

- **Practice address:** 643 CAPE CORAL PKWY E, SUITE F, CAPE CORAL, FL 33904-8549
- **Practice address phone:** (239) 540-4500
- **Practice address fax:** (239) 540-1529
- **Mailing address:** 643 CAPE CORAL PKWY E, SUITE F, CAPE CORAL, FL 33904-8549
- **Mailing address phone:** (239) 540-4500
- **Mailing address fax:** (239) 540-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 04/08/2008
