Individual
DAVID VANAVER LYSKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, DO
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(305) 527-2427
Mailing address
1532 INVENTORS CT, FORT MYERS, FL 33901-9659
(305) 527-2427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
9107603
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014097500
—
FL
01
—
1346670130
TYPE 2 NPI
FL
Enumeration date
12/09/2014
Last updated
05/06/2026
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