Organization
DAVID R DRIESBACH DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SEVICK (OFFICE MANAGER)
(239) 540-4500
Entity
Organization
Contact information
Practice address
643 CAPE CORAL PKWY E, SUITE F, CAPE CORAL, FL 33904-8549
(239) 540-4500
(239) 540-1529
Mailing address
643 CAPE CORAL PKWY E, SUITE F, CAPE CORAL, FL 33904-8549
(239) 540-4500
(239) 540-1529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6773
RAILROAD MEDICARE
FL
Enumeration date
09/13/2007
Last updated
04/08/2008
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