Individual
ANA CECILIA CISZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1287 US HIGHWAY 41 BYP S, VENICE, FL 34285-5545
(941) 202-0500
(941) 202-0501
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45787
AZ
207R00000X
Internal Medicine Physician
Primary
ME136155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024710700
—
FL
05
—
724801
—
AZ
01
—
JJ085Z
MEDICARE
FL
01
—
QV4EL
FLORIDA BLUE
FL
01
—
Z188453
MEDICARE PTAN
AZ
Enumeration date
07/06/2012
Last updated
08/25/2020
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