Individual
DR. MATTHEW DAVID SISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-4522
Mailing address
1530 CORNERSTONE BLVD, SUITE 200, DAYTONA BEACH, FL 32117-7128
(386) 274-7840
(386) 274-7841
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME111919
FL
Other
Enumeration date
07/08/2009
Last updated
07/09/2012
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