Individual
DEREK JASON SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3554 65TH AVENUE CIR E, SARASOTA, FL 34243-4116
(941) 250-4279
Mailing address
3554 65TH AVENUE CIR E, SARASOTA, FL 34243-4116
(941) 250-4279
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11008173
FL
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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