Individual
DAVID GEORGE CISLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13823 TAMIAMI TRL, NORTH PORT, FL 34287-2069
(941) 888-0770
(941) 888-0778
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039219700
—
FL
01
—
80241
BCBS
FL
Enumeration date
12/22/2005
Last updated
01/03/2024
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