Individual
DR. DAVID R DRIESBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
643 CAPE CORAL PKWY E, SUITE F, CAPE CORAL, FL 33904-8549
(239) 540-4500
(239) 540-1952
Mailing address
5106 KENSINGTON HIGH ST, NAPLES, FL 34105-5648
(941) 213-0094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS00006995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1188691
CIGNA HMO
FL
01
—
192325
STAYWELL HEALTHYKIDS
FL
01
—
57245
BCBS PROVIDER NUMBER
FL
01
—
OS00006995
LICENSE
FL
Enumeration date
07/25/2006
Last updated
03/07/2023
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